Individual
MISS DEMETRIA BUCKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS HEALTH SCIENCES,
Contact information
Practice address
5901 WALSHAM WAY, INDIANAPOLIS, IN 46254-2327
(317) 509-7674
Mailing address
3250 A WEST 86TH ST #1289, INDIANAPOLIS, IN 46268-3605
(317) 567-1293
(317) 981-3979
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
174H00000X
Health Educator
—
—
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
03/06/2013
Last updated
03/19/2024
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