Individual
MICHELLE KUBASEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN
Contact information
Practice address
956 MILO CIR UNIT B, LAFAYETTE, CO 80026-3335
(201) 566-8544
Mailing address
956 MILO CIR UNIT B, LAFAYETTE, CO 80026-3335
(201) 566-8544
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/18/2024
Last updated
10/18/2024
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