Individual
MRS. KATHLEEN M HUBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12287 MARGARET DR, FENTON, MI 48430-8805
(810) 629-7969
(810) 629-7969
Mailing address
12287 MARGARET DR, FENTON, MI 48430-8805
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
AF250002049
MI
Other
Enumeration date
07/01/2009
Last updated
07/01/2009
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