Individual
JAIME HUDDLESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 S CRESCENT DR, MASON CITY, IA 50401-2926
(800) 622-1411
Mailing address
250 S CRESCENT DR, MASON CITY, IA 50401-2926
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
116727
IA
Other
Enumeration date
07/15/2022
Last updated
11/15/2022
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