Individual
MS. JOSEPHINE ANN BUCZKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
1570 E COLORADO BLVD, U-104, PASADENA, CA 91106-2003
(626) 585-7110
(626) 585-7933
Mailing address
1445 MARIANNA RD, PASADENA, CA 91105-2748
(323) 255-8664
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
247876
CA
Other
Enumeration date
03/11/2010
Last updated
03/11/2010
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