Organization · NPI-2

360girls&Womenllc

Dietitian, Registered · Hopkinton, MA

NPI number1396353561
StatusActive
Last updated in NPPESNov 4, 2026

Details

NPI
1396353561
Entity type
Organization (NPI-2)
Legal business name
360girls&Womenllc
Organization subpart
No
Enumeration date
Jul 14, 2020
Certification date
Nov 4, 2026
Last updated
Nov 4, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered––Yes
133NN1002X Nutritionist, Nutrition, Education––

Practice location

34 Hayden Rowe St Ste 152
Hopkinton, MA 01748-1889

Phone 617-213-1589 · Fax 833-520-5181

Mailing address

Po Box 792
Hopkinton, MA 01748-0792

Authorized official

Sue-Ellen N Anderson-Haynes
Owner & Founder
3528713022

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