Individual
JENNIFER HUDDLESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1300 N VERMONT AVE, SUITE 707, LOS ANGELES, CA 90027-6005
(323) 913-4560
(323) 913-4570
Mailing address
1300 N VERMONT AVE, SUITE 707, LOS ANGELES, CA 90027-6005
(323) 913-4560
(323) 913-4570
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
15171
CA
363AM0700X
Medical Physician Assistant
Primary
15171
CA
Other
Enumeration date
12/28/2006
Last updated
01/08/2016
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