Buckelew Programs
Buckelew Programs is an Exclusive Provider Organization in San Rafael, California. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
914 Mission Ave 3rd FlSan Rafael, CA 94901-6106
Phone: (415) 457-6964
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Exclusive Provider Organization (primary) | Taxonomy 302F00000X |
|---|
Record details
| NPI number | 1770783193 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Chela Fielding — House Manager · (510) 653-4180 |
| NPI enumerated | July 24, 2007 |
| Last updated in NPPES | July 24, 2007 |
| Mailing address | 1044 45th St, B, Emeryville, CA 94608-3392 |
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