Individual
JULIA BUCKLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4352 MANCHESTER AVE, SAINT LOUIS, MO 63110-2138
(314) 531-5444
(314) 531-0063
Mailing address
4352 MANCHESTER AVE, SAINT LOUIS, MO 63110-2138
(314) 531-5444
(314) 531-0063
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2024027762
MO
Other
Enumeration date
08/21/2023
Last updated
07/18/2024
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