Individual
CAROLINA BUCKLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1680 WALDEN AVE, CHEEKTOWAGA, NY 14225-4914
(716) 894-7777
Mailing address
365 WYOMING AVE, BUFFALO, NY 14215-3119
(716) 597-2719
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
284453
NY
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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