Individual
MRS. KRYSTLE JORDAN ENDRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
611 N SAINT JOSEPH AVE, MARSHFIELD, WI 54449-1832
(715) 387-7176
Mailing address
611 N SAINT JOSEPH AVE, MARSHFIELD, WI 54449-1832
(715) 387-7176
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2302-29
WI
Other
Enumeration date
11/28/2018
Last updated
11/28/2018
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