Individual
MRS. PAIGE L BUCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1366 WATERFORD RD, WALWORTH, NY 14568-9585
(315) 986-3521
(315) 986-2318
Mailing address
3814 STALKER RD, MACEDON, NY 14502-9418
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
744911
NY
Other
Enumeration date
06/03/2019
Last updated
06/03/2019
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