Individual
CELES ELIZABETH BUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MICROPIGMENTATION
Contact information
Practice address
215 E DAILY DR STE 22, CAMARILLO, CA 93010-5805
(805) 389-8993
(805) 389-1886
Mailing address
215 E DAILY DR STE 22, CAMARILLO, CA 93010-5805
(805) 389-8993
(805) 389-1886
Taxonomy
Speciality
Code
Description
License number
State
246ZA2600X
Medical Art Specialist/Technologist
Primary
15210
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15210
COUNTY LICENSE
CA
Enumeration date
12/18/2007
Last updated
12/18/2007
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