Individual
JEANETTE THERESA HUDDLESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
20759 US-31S, INTERLOCHEN, MI 49643
(231) 275-7453
Mailing address
20759 US-31, INTERLOCHEN, MI 49643
(231) 275-7453
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
4704067890
MI
Other
Enumeration date
06/04/2007
Last updated
07/08/2007
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