Individual
DANIELLE HUDDLESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2900 1ST AVE, HUNTINGTON, WV 25702-1241
(304) 526-1234
Mailing address
42 KINWOOD DR, MILTON, WV 25541-9659
(304) 634-2113
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
01776
WV
Other
Enumeration date
12/20/2013
Last updated
01/31/2020
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