Individual
ROGER T HUDDLESTONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2287 RANCHO PARADISO, ARNOLD, CA 95223
(602) 800-6775
Mailing address
PO BOX 848, ARNOLD, CA 95223-0848
(510) 914-3202
Taxonomy
Speciality
Code
Description
License number
State
225CA2400X
Assistive Technology Practitioner Rehabilitation Counselor
Primary
N4582943
CA
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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