Individual
JUSTINE M BUCKNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1003 S 5TH ST, 3L, TACOMA, WA 98405-4210
(253) 403-1677
Mailing address
1003 S 5TH ST, 3L, TACOMA, WA 98405-4210
(253) 403-1677
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30007471
WA
Other
Enumeration date
01/18/2007
Last updated
05/02/2012
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