Individual
MRS. COLLEEN MARIE HUBBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
133 BARRANCA LANE, MOSS BEACH, CA 94038-9775
(650) 728-8140
Mailing address
P.O. BOX 3005, 133 BARRANCA LANE, MOSS BEACH, CA 94038-9775
(650) 728-8140
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
396
CA
Other
Enumeration date
06/14/2012
Last updated
06/14/2012
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