Individual
BRANDON BUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
531 RYAN RD, CELINA, TN 38551-3516
(931) 349-4654
Mailing address
531 RYAN RD, CELINA, TN 38551-3516
(931) 349-4654
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
170327
TN
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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