Mariah Jade Hubbard
Specialist/Technologist, Athletic Trainer in Absecon, NJ. Individual provider (NPI-1).
NPI number1265033765
StatusActive
Last updated in NPPESNov 3, 2020
Details
- NPI
- 1265033765
- Entity type
- Individual (NPI-1)
- Name
- Mariah Jade Hubbard
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 3, 2020
- Certification date
- Nov 3, 2020
- Last updated
- Nov 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
13 Stoneybrook Dr Apt 11Absecon, NJ 08201-4340
Phone 609-674-6493
Mailing address
13 Stoneybrook Dr Apt 11Absecon, NJ 08201-4340
Phone 609-674-6493
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