Individual
JAY L HUDDLESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1110 12TH ST, ANACORTES, WA 98221-2104
(360) 293-9312
(360) 299-3937
Mailing address
1110 12TH ST, ANACORTES, WA 98221-2104
(360) 293-9312
(360) 299-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00001311
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2083202
—
WA
Enumeration date
05/24/2005
Last updated
12/29/2011
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