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Individual

MERCEDES MARIA BUCKINGHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
14 KELSEY AVE, OLD LYME, CT 06371-1210
(860) 949-4192
Mailing address
14 KELSEY AVE, OLD LYME, CT 06371-1210
(860) 949-4192

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HCA.0001996
CT

Other

Enumeration date
05/02/2022
Last updated
05/02/2022
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