Individual
MS. TOMIKA DANIELLE BUCKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N
Contact information
Practice address
515 PINE LN, BRANDON, FL 33511-7816
(813) 438-0901
Mailing address
515 PINE LANE, BRANDON, FL 33511
(813) 432-0901
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
PN.136152-M-IV
OH
164W00000X
Licensed Practical Nurse
Primary
PN5198048
FL
Other
Enumeration date
08/15/2010
Last updated
11/22/2011
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