Individual
EVELYN HUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6330 W THUNDERBIRD RD, GLENDALE, AZ 85306-4002
(623) 486-6000
Mailing address
8833 W KAREN LEE LN, PEORIA, AZ 85382-3778
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN061236
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143633
—
AZ
Enumeration date
04/03/2007
Last updated
07/09/2007
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