Individual
AUBREY ELIZABETH HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 W SWANSON AVE, WASILLA, AK 99654-6844
(907) 357-0890
(907) 350-0891
Mailing address
300 W SWANSON AVE, WASILLA, AK 99654-6844
(907) 357-0890
(907) 357-0891
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
RBT-19-90543
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-19-90543
RBT CERTIFICATION
AK
Enumeration date
06/27/2019
Last updated
06/27/2019
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