Individual
TAREZ HUDDLESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7401 NE 23RD ST, OKLAHOMA CITY, OK 73141-1420
(682) 336-1408
Mailing address
7401 NE 23RD ST, OKLAHOMA CITY, OK 73141-1420
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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