Individual
MS. REBECCA LEE NIEKAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1100 TIMBER TRL, WAPAKONETA, OH 45895-9468
(419) 739-9736
Mailing address
1100 TIMBER TRL, WAPAKONETA, OH 45895-9468
(419) 739-9736
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4896
OH
Other
Enumeration date
02/02/2012
Last updated
02/02/2012
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