Individual
MARK GORDON BUCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T., M.M.P.
Contact information
Practice address
2740 SILVER AVE, SANDY VALLEY, NV 89019-8539
(702) 466-2626
Mailing address
2740 SILVER AVE, SANDY VALLEY, NV 89019-8539
(702) 466-2626
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
NV20151219246
NV
Other
Enumeration date
03/16/2016
Last updated
03/16/2016
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