Evan Buckley
Evan Buckley is an Athletic Trainer in Santa Rosa, California. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
703 Liana DrSanta Rosa, CA 95407-7434
Phone: (650) 554-0355
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Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|
Record details
| NPI number | 1699349787 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 13, 2021 |
| Last updated in NPPES | May 13, 2021 |
| Certification date | May 13, 2021 |
| Mailing address | 703 Liana Dr, Santa Rosa, CA 95407-7434 |
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