Individual
ANGEL BUCKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1041 OHIO AVE, LOGAN, OH 43138-9369
(740) 603-6945
Mailing address
1041 OHIO AVE, LOGAN, OH 43138-9369
(740) 603-6945
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
OH
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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