Individual
TANIYA BUCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23111 LAHSER RD, SOUTHFIELD, MI 48033-6027
(248) 945-9216
Mailing address
18803 LAMONT ST, DETROIT, MI 48234-2287
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5303049744
MI
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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