Individual
ANDREA L HUBBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
12707 120TH AVE NE STE 100, KIRKLAND, WA 98034-7500
(425) 820-2110
(425) 512-8174
Mailing address
PO BOX 1920, EVERETT, WA 98206-1920
(425) 820-2110
(425) 512-8174
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00013440
WA
Other
Enumeration date
11/08/2006
Last updated
10/09/2012
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