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Individual

KAYSIA D WHITELOCKE BUCKLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
313 DOUGLAS ST NE, WASHINGTON, DC 20002-1033
(202) 584-9608
Mailing address
652 FAIRVIEW AVE, TAKOMA PARK, MD 20912-5954
(202) 584-9608

Taxonomy

Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary

Other

Enumeration date
02/11/2025
Last updated
02/19/2025
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