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Individual

BROOKE CECELIA HUGHES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NDTR

Contact information

Practice address
715 RIDGECREST DR, KINGMAN, AZ 86409-2955
(928) 274-1605
Mailing address
715 RIDGECREST DR, KINGMAN, AZ 86409-2955
(928) 274-1605

Taxonomy

Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
AZ

Other

Enumeration date
09/12/2025
Last updated
09/12/2025
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