Individual
JUBILEE D HUERTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.T.P.
Taxonomy
Speciality
Code
Description
License number
State
225CA2400X
Assistive Technology Practitioner Rehabilitation Counselor
ATP95934
—
247200000X
Other Technician
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
08/02/2023
Last updated
06/25/2024
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