Individual
JESSICA R BUCCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1796 KALE ADAMS RD SW, WARREN, OH 44481-9716
(330) 610-7361
Mailing address
1796 KALE ADAMS RD SW, WARREN, OH 44481-9716
(330) 610-7361
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
SM914651
OH
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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