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Individual

MICHELLE BUCKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, PMHNP-BC

Contact information

Practice address
312 BROOKSIDE AVE, REDLANDS, CA 92373-4608
(760) 408-3069
Mailing address
25885 AMAPOLAS ST, LOMA LINDA, CA 92354-2503
(760) 408-3069

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95011953
CA

Other

Enumeration date
01/22/2020
Last updated
01/22/2020
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