Individual
LESLIE DIANE HUDDLESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1478 AKIALOA PL, KAILUA, HI 96734-4274
(088) 499-9979
(844) 861-2469
Mailing address
PO BOX 222, KAILUA, HI 96734-0222
(808) 499-9979
(861) 844-2469
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
AMD-285
HI
Other
Enumeration date
07/13/2008
Last updated
11/03/2021
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