Katrina Hubbard
Technician, Attendant Care Provider in Tallahassee, FL. Individual provider (NPI-1).
NPI number1366104705
StatusActive
Last updated in NPPESOct 13, 2021
Details
- NPI
- 1366104705
- Entity type
- Individual (NPI-1)
- Name
- Katrina Hubbard
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 13, 2021
- Certification date
- Oct 13, 2021
- Last updated
- Oct 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
2125 Portsmouth CirTallahassee, FL 32311-9444
Phone 850-322-4900
Mailing address
2125 Portsmouth CirTallahassee, FL 32311-9444
Phone 850-322-4900
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