Individual
MRS. DENNISE KATHRYN BUKOVAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1741 POINTVIEW AVE, YOUNGSTOWN, OH 44502-2913
(330) 261-2317
Mailing address
1741 POINTVIEW AVE, YOUNGSTOWN, OH 44502-2913
(330) 261-2317
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 374541
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043400740
—
OH
Enumeration date
07/28/2007
Last updated
03/08/2016
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