Jonna Beth Buckner X
Technician, Personal Care Attendant in Madison, WV. Individual provider (NPI-1).
NPI number1346851573
StatusActive
Last updated in NPPESAug 12, 2020
Details
- NPI
- 1346851573
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jonna Beth Buckner X
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 12, 2020
- Certification date
- Aug 12, 2020
- Last updated
- Aug 12, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
1 Avenue C Ste 110Madison, WV 25130-1100
Phone 304-369-6400
Mailing address
1 Avenue C Ste 102Madison, WV 25130-1100
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