Individual
MONICA BUCKLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15337 CHARLES R AVE, EASTPOINTE, MI 48021-1507
(586) 944-1218
Mailing address
15337 CHARLES R AVE, EASTPOINTE, MI 48021-1507
(586) 944-1218
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
B242609139146
MI
Other
Enumeration date
09/05/2016
Last updated
09/05/2016
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