Provider Demographics
NPI:1184830572
Name:HUBREL, JEFFREY OLIVER
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:OLIVER
Last Name:HUBREL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2680 WODEN ST
Mailing Address - Street 2:USCGC HAMILTON
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92136-5491
Mailing Address - Country:US
Mailing Address - Phone:619-559-6560
Mailing Address - Fax:
Practice Address - Street 1:2680 WODEN ST
Practice Address - Street 2:USCGC HAMILTON
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92136-5491
Practice Address - Country:US
Practice Address - Phone:619-559-6560
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other