SUSAN RICARDO BUCKLEY

DAYTONA BEACH, FL
NPI1225383094
Former NameSUSAN R MELLA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: FL  ND4064)
Enumeration Date2012-07-18
Last Update Date2019-07-15
Business Address
SUSAN RICARDO BUCKLEY ND
1259 S BEACH ST APT 1105
DAYTONA BEACH, FL 32114
Phone number: 386-527-9178
Mailing Address
SUSAN RICARDO BUCKLEY ND
1259 S BEACH ST APT 1105
DAYTONA BEACH, FL 32114-6328
Phone number: 386-527-9178