Individual
SHELIA ANN BUCKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
920 PROSPECT AVE, VAN WERT, OH 45841
(419) 238-0920
Mailing address
612 KEAR RD, VAN WERT, OH 45891-1037
(567) 259-7596
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400232080403
OH
Other
Enumeration date
09/30/2009
Last updated
08/16/2024
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