EBONIQUE MARTIN BUCKNER

RIDGELAND, MS
NPI1003465352
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  903424)
Enumeration Date2019-09-10
Last Update Date2021-05-17
Business Address
EBONIQUE MARTIN BUCKNER NP-C
768 AVERY BLVD N
RIDGELAND, MS 39157-5219
Phone number: 601-487-6482
Mailing Address
EBONIQUE MARTIN BUCKNER NP-C
768 AVERY BLVD N
RIDGELAND, MS 39157-5219
Phone number: 601-487-6482
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