Individual
LUL MUSAID TAHER BUBAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1915 HIGH ST, SELMA, CA 93662-3510
(559) 352-5242
Mailing address
1064 MILL ST, SELMA, CA 93662-4602
(559) 352-5242
(559) 891-7542
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86103497
CA
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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