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Individual

MAQUEDA LEYA BUFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
11913 MONTRON WAY, RANCHO CORDOVA, CA 95742-8241
(916) 410-1385
Mailing address
11913 MONTRON WAY, RANCHO CORDOVA, CA 95742-8241
(916) 410-1385

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NONE
N/A
Enumeration date
01/13/2023
Last updated
01/13/2023
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