Individual
MRS. CAROLYN LACEY HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3727 MARCONI AVE, SACRAMENTO, CA 95821-5303
(916) 485-6500
(916) 485-6814
Mailing address
902 TUOLUMNE ST, VALLEJO, CA 94590-4641
(707) 648-8121
(707) 648-8129
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/06/2008
Last updated
09/19/2016
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