Individual
CAROLYN HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1360 CONCORD DR, YPSILANTI, MI 48198-8482
(734) 218-4124
Mailing address
1360 CONCORD DR, YPSILANTI, MI 48198-8482
(734) 218-4124
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
6802088158
MI
Other
Enumeration date
06/24/2015
Last updated
06/24/2015
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