TEQUILA BUCKHANON
Home Health
Active
Individual
NPI: 1477170777
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | No | - |
| Home Health | 251E00000X | Yes | 10827598 (MN) |
Frequently Asked Questions
NPI 1477170777 is the National Provider Identifier for TEQUILA BUCKHANON, a Home Health provider located in Brooklyn Center, MN. This NPI was enumerated on July 2, 2020.
TEQUILA BUCKHANON practices at 5701 SHINGLE CREEK PKWY STE 250H, Brooklyn Center, MN 55430.
Quick Facts
- NPI
- 1477170777
- Type
- Individual
- Enumerated
- Jul 2, 2020
- Last Updated
- Jul 2, 2020
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