Individual
CARLA MICHELLE HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
733 HINKSON ST, CHESTER, PA 19013-6228
(610) 998-5735
Mailing address
733 HINKSON ST, CHESTER, PA 19013-6228
(610) 998-5735
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN310261
PA
Other
Enumeration date
03/22/2021
Last updated
03/22/2021
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