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TIFFANI BUCKNER

>> Home Health Aide >> Nursing Service Related Providers

Registrant NPI Number: 1003478363

Individual Registrant:
 TIFFANI  BUCKNER 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1330 INGERSOLL DR  PHENIX CITY, AL 36867-6042 US
Tel: 323-358-8096  Fax: --

Contact information for business:
614 25TH CT  PHENIX CITY, AL 36869-6448 US
Tel: --  Fax: --

Registration Information:
NPI: 1003478363
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y374U00000XNursing Service Related Providers
Home Health Aide

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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