Individual
KIMBERLY JOY BUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4440 BROCKTON AVE STE 420, RIVERSIDE, CA 92501-4026
(951) 684-8020
(951) 684-8090
Mailing address
4440 BROCKTON AVE STE 420, RIVERSIDE, CA 92501-4026
(951) 684-8020
(951) 684-8090
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
19787
CA
Other
Enumeration date
03/29/2011
Last updated
03/29/2011
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