Ida Mae Hublein

NPI #1144796020 in Lakeland, Georgia

Provider Information

NPI Number: 1144796020
Entity Type: Individual
Name: Ida Mae Hublein
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: Oct 18, 2018
Last Updated: Oct 18, 2018

Practice Location

Address: 265 BASKINS RD
City: Lakeland
State: Georgia
ZIP Code: 31635-5224
Phone: (208) 599-1640

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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