Individual
MARK AARON HUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
275 GULFSTREAM DR, ELIZABETH CITY, NC 27909-6703
(252) 335-6460
Mailing address
275 GULFSTREAM DR, ELIZABETH CITY, NC 27909-6703
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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