Individual
ALICIA KOUBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2227 STONEHAVEN DR, PLAINFIELD, IL 60586-8119
(815) 342-4342
Mailing address
19805 S LA GRANGE RD, MOKENA, IL 60448-8348
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/10/2022
Last updated
01/12/2022
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