Individual
DANIELLE BUCCINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
BLDG 50, FARENHOLT AVENUE, AGANA HEIGHTS, GU 96910
(671) 344-9340
Mailing address
PSC 455 BOX 208, FPO, AP 96540-0003
(671) 344-9340
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
0101265149
VA
207R00000X
Internal Medicine Physician
Primary
0101265149
VA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
02/09/2017
Last updated
06/11/2024
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