Individual
SYDNEY RAE BUCKLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
60 REVERE RD, HURRICANE, WV 25526-5917
(304) 380-1460
Mailing address
60 REVERE RD, HURRICANE, WV 25526-5917
(304) 380-1460
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
90860
WV
Other
Enumeration date
03/18/2022
Last updated
03/18/2022
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