Zachary Dillon Buckelew

NPI 1578812988 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1578812988
Gender Male
Enumeration Date 08/30/2012
Last Updated 08/30/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
58945 BUSINESS CENTER DR
YUCCA VALLEY CA, 92284-7307, US
Phone (760) 228-9657
Fax
Business Location
61817 ALTA VISTA DR
JOSHUA TREE CA, 92252-2641, US
Phone (760) 408-6307
Fax
Toxanomy
Taxonomy Code 171M00000X
License State
License Number
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According to our database, Mr. Zachary Dillon Buckelew NPI is 1578812988, taxonomy code is 171M00000X Zachary Dillon Buckelew physically located at 58945 Business Center Dr, Yucca Valley CA, 92284-7307. NPI Number Zachary Dillon Buckelew has the Individual type.

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1578812988 NPI number is provided on an as is basis without warranty of any kind. 1578812988 is maintained by the National Plan & Provider Enumeration System. The contents of Zachary Dillon Buckelew are for informational purposes only.