Provider Demographics
NPI:1366267684
Name:HUBBARD, ASHLEY CLAUDETTE
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:CLAUDETTE
Last Name:HUBBARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 SHADYSIDE AVE SW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44710-1640
Mailing Address - Country:US
Mailing Address - Phone:330-371-1559
Mailing Address - Fax:
Practice Address - Street 1:710 SHADYSIDE AVE SW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44710-1640
Practice Address - Country:US
Practice Address - Phone:330-371-1559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-21
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker