Individual
REGINA HUBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13661 ASHMONT ST, VICTORVILLE, CA 92392-0413
(323) 217-8570
Mailing address
13661 ASHMONT ST, VICTORVILLE, CA 92392-0413
(323) 217-8570
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
KK55170
CA
Other
Enumeration date
05/05/2019
Last updated
05/05/2019
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