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Individual

MS. ANN MARIE BUCKLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.R.N.A.

Contact information

Practice address
701 CHARLES ST, LA PLATA, MD 20646-5930
(301) 609-4285
Mailing address
141 THOMAS JOHNSON DR, STE. 190, FREDERICK, MD 21702-4502

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R057171
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
350001200
MD
Enumeration date
01/19/2007
Last updated
08/02/2019
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