Individual
LISA HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10355 E PALMER WASILLA HWY, PALMER, AK 99645-8876
(907) 746-3418
Mailing address
13870 E RIVER VISTA CIR, PALMER, AK 99645-5601
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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