Individual
MELISSA HULBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23200 RED ARROW HWY, MATTAWAN, MI 49071-7754
(269) 668-6715
Mailing address
2700 LAKESHORE DR APT 402, SAINT JOSEPH, MI 49085-2268
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
3360778
MI
Other
Enumeration date
04/03/2014
Last updated
04/03/2014
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