Individual
MS. ELIZABETH S HUBBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
3817 FAR HILLS AVE, KETTERING, OH 45429-2507
(937) 643-9823
(937) 643-9823
Mailing address
3817 FAR HILLS AVE, KETTERING, OH 45429-2507
(937) 643-9823
(937) 643-9823
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
231468
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2193022
—
OH
Enumeration date
05/21/2007
Last updated
01/07/2009
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