Individual
SUSAN MARIE BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1077 1ST ST, NANTY GLO, PA 15943-1159
(814) 749-7332
Mailing address
411 TROUT RD, NORTHERN CAMBRIA, PA 15714-7916
(814) 659-7539
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
150118
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
150118
EMT-B
PA
Enumeration date
03/02/2022
Last updated
03/02/2022
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