Individual
MELINDA HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
24424 W MCNICHOLS RD, DETROIT, MI 48219-3653
(313) 531-2500
Mailing address
20330 LOUISE ST, LIVONIA, MI 48152-1825
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
4704222217
MI
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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