Individual
MS. ELIZABETH CANDACE HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
7800 NW 23RD ST, BETHANY, OK 73008-4948
(405) 495-8606
(405) 495-4356
Mailing address
9900 W HIGHWAY 66 APT 1610, YUKON, OK 73099-0020
(240) 271-4021
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
2275
OK
133V00000X
Registered Dietitian
Primary
5884-29
WI
133VN1005X
Renal Nutrition Registered Dietitian
5884-29
WI
Other
Enumeration date
03/24/2023
Last updated
05/12/2026
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