Individual
AMANDA BECK BUCAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1644 JACKSON ST, BARNWELL, SC 29812-2156
(888) 221-1826
Mailing address
PO BOX 390, HUNTINGTON, WV 25708-0390
(888) 221-1826
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
22870
SC
Other
Enumeration date
05/20/2019
Last updated
05/20/2019
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