Individual
MAMIE REE HUBBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
730 N EASTERN AVE STE 110, LAS VEGAS, NV 89101-2885
(702) 587-1974
Mailing address
8105 DESERT CLOUD AVE, LAS VEGAS, NV 89131-4667
(702) 597-4779
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/06/2012
Last updated
04/06/2012
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