JACQUELINE BUCKERIDGE

DETROIT, MI
NPI1497712566
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MI  4704176737)
Enumeration Date2006-05-01
Last Update Date2011-11-16
Business Address
-- JACQUELINE BUCKERIDGE CRNA
6071 W OUTER DR
DETROIT, MI 48235-2624
Phone number: 952-442-9770
Mailing Address
-- JACQUELINE BUCKERIDGE CRNA
DEPT 203401 PO BOX 67000
DETROIT, MI 48267-0001
Phone number: 952-442-9770
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