| Doctor Name: | MS. ZENDA RANAE HUBBARD |
| NPI Number: | 1548592546 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMP |
| License Number: | CX60238750 |
| Business Practice Address: | 130 N Adams St. Coulee City, WA - 99115 |
| Business Phone Number: | 5096328668 |
| Business Fax Number: | 5096325761 |
| Mailing Address: | Po Box 817, COULEE CITY |
| State: | WA |
| Postal Code: | 99115 |
| Phone Number: | 5096328668 |
| Fax Number: | 5096325761 |
| NPI Enumeration Date: | 02/02/2010 |
| NPI Last Update Date: | 09/15/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2471C3402X |
| License Number: | CX60238750 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | Radiography |
| Taxonomy Definition: | |