Individual
MRS. ETTA DENISE HUBBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7203 W COLTER ST, GLENDALE, AZ 85303-5712
(480) 859-2635
Mailing address
7203 W COLTER ST, GLENDALE, AZ 85303-5712
(480) 859-2635
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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