Individual
SIMONE HUBBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2660 VENICE ST, DEARBORN, MI 48124-4176
(313) 633-1916
Mailing address
2660 VENICE ST, DEARBORN, MI 48124-4176
(313) 633-1916
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704276052
MI
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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