Individual
MS. DEBORAH BUCKINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22010 E SAMS CREEK RD, LAURELVILLE, OH 43135-9221
(740) 816-5305
Mailing address
PO BOX 487, LOGAN, OH 43138-0487
(740) 816-5305
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
2546374
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2546374
—
OH
Enumeration date
05/13/2015
Last updated
05/13/2015
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