Provider Demographics
NPI:1013554807
Name:TUBBS, WILLIA B (CCMA)
Entity Type:Individual
Prefix:MRS
First Name:WILLIA
Middle Name:B
Last Name:TUBBS
Suffix:
Gender:F
Credentials:CCMA
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Mailing Address - Street 1:9030 WESLEYAN RD # 207
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46268-3110
Mailing Address - Country:US
Mailing Address - Phone:260-217-3187
Mailing Address - Fax:
Practice Address - Street 1:9030 WESLEYAN RD # 207
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46268-3110
Practice Address - Country:US
Practice Address - Phone:260-217-3187
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-29
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy