Individual
MRS. JEANNIE M HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
655 GOODPASTURE ISLAND RD APT 147, EUGENE, OR 97401-1532
(541) 968-9286
Mailing address
655 GOODPASTURE ISLAND RD APT 147, EUGENE, OR 97401-1532
(541) 968-9286
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
0088
OR
Other
Enumeration date
10/19/2012
Last updated
10/19/2012
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