Diane M Henderiks, R.D.
NPI #1639159668 in Tinton Falls, New Jersey
Provider Information
- NPI Number
- 1639159668
- Entity Type
- Individual
- Name
- Diane M Henderiks, R.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dietitian, Registered
- Credential
- R.D.
- Enumeration Date
- Jan 17, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 4 HARTFORD DR
- City
- Tinton Falls
- State
- New Jersey
- ZIP Code
- 07701-4929
- Phone
- (732) 922-6269
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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