Individual
BILLY DEREK HUDDLESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11668 RIVER BEND DR, LEAVENWORTH, WA 98826-9353
(501) 366-1919
Mailing address
11668 RIVER BEND DR, LEAVENWORTH, WA 98826-9353
(501) 366-1919
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR.CH.61178122
WA
Other
Enumeration date
10/02/2020
Last updated
08/18/2022
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