Individual
JESSICA KATHERINE CHUBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
384 2ND ST, MANISTEE, MI 49660-1745
(989) 820-4859
Mailing address
384 2ND ST, MANISTEE, MI 49660-1745
(989) 820-4859
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703110498
MI
Other
Enumeration date
10/27/2014
Last updated
10/27/2014
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