Individual
JULIE ANN BUCHANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4646 BROCKTON AVE, RIVERSIDE, CA 92506-0102
(951) 774-2952
(951) 774-2955
Mailing address
4646 BROCKTON AVE, RIVERSIDE, CA 92506-0102
(951) 774-2952
(951) 774-2955
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
14361
CA
Other
Enumeration date
07/01/2010
Last updated
07/01/2010
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