Individual
ELLEN WITTNEBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
125 PARKER HILL AVE, BOSTON, MA 02120-2847
(617) 754-5354
Mailing address
125 PARKER HILL AVE, BOSTON, MA 02120-2847
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4282
MA
Other
Enumeration date
07/06/2017
Last updated
07/06/2017
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