Individual
JENNIFER BUCKMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED.
Contact information
Practice address
2709 BLUE RIDGE RD, SUITE 200, RALEIGH, NC 27607-6462
(919) 784-4696
(919) 784-4697
Mailing address
2709 BLUE RIDGE RD, SUITE 200, RALEIGH, NC 27607-6462
(919) 784-4696
(919) 784-4697
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6927
NC
Other
Enumeration date
10/23/2012
Last updated
10/23/2012
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