Individual
JOHANNA MAE HOBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSA
Contact information
Practice address
101 E GARNETTSVILLE RD, MULDRAUGH, KY 40155-1137
(502) 938-8691
Mailing address
101 E GARNETTSVILLE RD, MULDRAUGH, KY 40155-1137
(502) 938-8691
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA177
KY
Other
Enumeration date
12/30/2008
Last updated
11/20/2010
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