Individual
MARCIA BUCKINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5906 N MARKET ST, SHREVEPORT, LA 71107-2014
(318) 309-5008
Mailing address
7607 FERN AVE STE 903, SHREVEPORT, LA 71105-5745
(318) 524-9954
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
870028
LA
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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