Individual
MRS. MARIE B HUBBARD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DTR
Contact information
Practice address
MADIGAN ARMY MEDICAL CENTER, MEDICAL NUTRITION THERAPY BRANCH, FT LEWIS, WA 98433
(253) 968-0544
Mailing address
4334 CLEARWATER LOOP SE, LACEY, WA 98503-4437
(360) 413-7389
Taxonomy
Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
—
—
Other
Enumeration date
04/17/2006
Last updated
07/08/2007
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