Individual
MISS AUBREY LEIGH BUCKENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3882 MAHOGANY ST NW, UNIONTOWN, OH 44685-9137
(330) 413-5238
Mailing address
919 2ND ST NE, CANTON, OH 44704-1132
(330) 413-5238
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10242193500
—
OH
Enumeration date
08/06/2018
Last updated
08/06/2018
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