Individual
ANTHONY BUCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17635 JAYCEE RD, IOWA, LA 70647-6081
(337) 965-6292
Mailing address
17635 JAYCEE RD, IOWA, LA 70647-6081
(337) 965-6292
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
008842893
LA
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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