Individual
AMY JOANNE BUCKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2204 S EL CAMINO REAL STE 102, OCEANSIDE, CA 92054
(858) 576-1700
Mailing address
3020 CHILDRENS WAY # MC6001, SAN DIEGO, CA 92123-4223
(858) 576-1700
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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