Courtney Niebauer
NPI #1942508346 in Mattapan, Massachusetts
Provider Information
- NPI Number
- 1942508346
- Entity Type
- Individual
- Name
- Courtney Niebauer
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dietitian, Registered
- Enumeration Date
- Mar 9, 2011
- Last Updated
- Mar 9, 2011
Practice Location
- Address
- 1135 MORTON ST
- City
- Mattapan
- State
- Massachusetts
- ZIP Code
- 02126-2834
- Phone
- (617) 533-2300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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