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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. ANDRE MICHAEL HUDDLESTON SR.

Active

MR. ANDRE MICHAEL HUDDLESTON SR. is a Community Health Worker healthcare provider located in RANCHO CORDOVA, California. NPI 1881041002 is currently active in the NPPES registry. Verify at CMS.

Community Health Worker · RANCHO CORDOVA, CA

Registration Details

NPI Number
1881041002
Provider Type
Individual
Gender
Male
NPI Issued
May 17, 2016 (10.065578563929 yrs)
Last Updated
Aug 13, 2024
License
171M00000X (CA)

Practice Information

Address
11879 FIRE AGATE WAY
RANCHO CORDOVA, CA, 957428068
Browse CA providers · Browse ZIP 95742
Phone
9165490821
Primary Specialty
Community Health Worker
172V00000X
Additional Specialty
Case Manager
Additional Specialty
Community Health Worker

Other Community Health Worker Providers in RANCHO CORDOVA, CA

Name Credential NPI
KAREN LEPE 1316372386
LILA LONA 1407537434
MATTHEW CHIU TAI CHENG 1457130890
MR. ANTWAN PADILLA 1497570774
MARIELENA REGALADO 1730070798
VERONICA CRUZ LANE 1821962762
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.