Individual
BENJAMIN HUDDLESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
34101 FARENHOLT AVE, SAN DIEGO, CA 92134-7000
(619) 744-5301
Mailing address
11067 CAMINO PLAYA CARMEL, SAN DIEGO, CA 92124-4141
(256) 714-6669
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
07/30/2011
Last updated
07/30/2011
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