Individual
LINDA BUCKINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1397 WEIMER RD, DIABETES MANAGEMENT PROGRAM, TAOS, NM 87571-6253
(575) 737-3285
Mailing address
1397 WEIMER RD, DIABETES MANAGEMENT PROGRAM, TAOS, NM 87571-6253
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
R22682
NM
Other
Enumeration date
05/10/2012
Last updated
05/10/2012
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