Individual
SANDRA R HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
495 TRUMAN HOLLOW RD, LIZEMORES, WA 25125
(304) 663-9343
Mailing address
PO BOX 224, LIZEMORES, WV 25125-0224
(304) 663-9343
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/23/2020
Last updated
05/04/2022
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