Individual
BUKET TINOCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
555 SUN VALLEY DR UNIT C-1, ROSWELL, GA 30076
(404) 907-3982
(678) 775-8877
Mailing address
4795 ALLISON DR, SUGAR HILL, GA 30518-6261
(770) 330-6225
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN268917
GA
Other
Enumeration date
08/03/2021
Last updated
04/27/2022
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