Individual
AMY MARINA HUDDLESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 E CHURCH ST, SANTA MARIA, CA 93454-5906
(805) 354-7101
Mailing address
524 S CHARLES ST, BALTIMORE, MD 21201-2427
(310) 621-9456
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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