Individual
MRS. BAILENE ORTEZ BUCKNER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
447 DEMOREST RD, COLUMBUS, OH 43204-1101
(614) 207-8915
Mailing address
447 DEMOREST RD, COLUMBUS, OH 43204-1101
(614) 207-8915
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
099939
OH
Other
Enumeration date
04/10/2006
Last updated
07/08/2007
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