Individual
LAURA NIEBERDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
517 GONZALEZ DR, SAN FRANCISCO, CA 94132-2349
(415) 452-6722
Mailing address
517 GONZALEZ DR, SAN FRANCISCO, CA 94132-2349
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
706766
CA
Other
Enumeration date
04/10/2008
Last updated
04/10/2008
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