Search › California › 172V00000X
Andre Huddleston
NPI 1881041002 · on the registry since 2016
Practice
- Address
- 11879 Fire Agate Way
Rancho Cordova, CA 95742 - Phone
- (916) 549-0821
Registry record
- Primary taxonomy
- 172V00000X
172V00000X
- Also registered as
- 101YM0800X
171M00000X - Licence states on file
- CA, NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-08-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California