Individual
MS. KIMBERLY HUBBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4986 N ADAMS RD, ROCHESTER, MI 48306-5017
(248) 408-2702
Mailing address
51336 JOHNS DR, CHESTERFIELD, MI 48047-1474
(248) 408-2702
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704245101
MI
Other
Enumeration date
04/01/2015
Last updated
04/01/2015
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