Individual
BIONCA BUIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
810 JUPITER DR APT 304, MADISON, WI 53718-2991
(608) 658-7669
Mailing address
810 JUPITER DR APT 304, MADISON, WI 53718-2991
(608) 658-7669
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
321628
WI
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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