Individual
MS. SHARON DENISE BUCKNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11 BURMA PL, PALM COAST, FL 32137-9437
(757) 535-0035
Mailing address
11 BURMA PL, PALM COAST, FL 32137-9437
(757) 535-0035
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
FL
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
05/16/2021
Last updated
05/16/2021
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