Individual
MR. JIM BUCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
114 S DELAWARE ST, SAN MATEO, CA 94401-3222
(650) 579-7881
(650) 579-2640
Mailing address
114 S DELAWARE ST, SAN MATEO, CA 94401-3222
(650) 579-7881
(650) 579-2640
Taxonomy
Speciality
Code
Description
License number
State
235500000X
Speech/Language/Hearing Specialist/Technologist
Primary
—
—
Other
Enumeration date
02/12/2021
Last updated
02/12/2021
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