Individual
CHRISTIAN BUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4605 VIA ALTURA, MODESTO, CA 95357-0667
(210) 862-2825
Mailing address
4605 VIA ALTURA, MODESTO, CA 95357-0667
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95126898
CA
Other
Enumeration date
11/15/2019
Last updated
11/15/2019
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