Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175L00000X | Homeopath | 99240009 | LA |
NPI | 1326257817 |
---|---|
Provider Name | Mrs. Carla Hubbard |
First Address | Minden, LA 71055-3423 |
Second Address | Minden, LA 71055-3423 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2007 |
Last Update Date | 08/07/2007 |