Individual
RACHAEL ROCHELLE BUCKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
826 W 5TH ST, FIRST FLOOR, ERIE, PA 16507-1108
(814) 566-4157
Mailing address
826 W 5TH ST, FIRST FLOOR, ERIE, PA 16507-1108
(814) 566-4157
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN274862
PA
Other
Enumeration date
07/02/2009
Last updated
07/02/2009
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