Individual
COURTNEY JAE MICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1960 HARWOOD DR, LACONA, NY 13083-3228
(315) 529-8793
Mailing address
1960 HARWOOD DR, LACONA, NY 13083-3228
(315) 529-8793
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
04/06/2026
Last updated
04/06/2026
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