Individual
TIFFANI BUCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 INGERSOLL DR, PHENIX CITY, AL 36867-6042
(323) 358-8096
Mailing address
614 25TH CT, PHENIX CITY, AL 36869-6448
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/07/2019
Last updated
07/07/2019
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