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Individual

MS. KRISTEN LEIGH JUBB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2225 OLD EMMORTON RD, BEL AIR, MD 21015-6129
(443) 987-6998
Mailing address
2319 NORTHCLIFF DR, JARRETTSVILLE, MD 21084-1812
(443) 538-5457

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0004624
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
466771900
MD
Enumeration date
11/14/2011
Last updated
11/28/2023
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