Individual
KIMBERLY HUDDLESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 EL CAJON BLVD, SAN DIEGO, CA 92104-1105
(619) 269-9909
Mailing address
1111 15TH ST, SAN DIEGO, CA 92154-1958
(619) 757-6511
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
67208
CA
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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