Individual
MRS. PATRICIA KERSULIS BUCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
850 N MAIN STREET EXT, BLDG 2, SUITE 3B, WALLINGFORD, CT 06492-2400
(203) 284-8661
(203) 284-1050
Mailing address
850 N MAIN STREET EXT, BLDG 2, SUITE 3B, WALLINGFORD, CT 06492-2400
(203) 284-8661
(203) 284-1050
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
000203
CT
Other
Enumeration date
07/03/2007
Last updated
07/08/2007
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