Individual
MAHEALANI KIM BUCKLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
8325 UNIVERSITY AVE, LA MESA, CA 91942-9322
(619) 343-2502
Mailing address
8781 TOMMY DR, SAN DIEGO, CA 92119-2013
(303) 859-1931
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
782243
CA
Other
Enumeration date
01/21/2019
Last updated
01/21/2019
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