TEQUILA BUCKHANON

Home Health Agency

NPI: 1477170777Individual

Specialties, Licenses & Credentials

Non-emergency Medical Transport (VAN)

Non-emergency Medical Transport (VAN)

Code: 343900000X

Home Health AgencyPrimary

Home Health

Code: 251E00000X

10827598(MN)

Contact & Hours

Address: 5701 SHINGLE CREEK PKWY STE 250H
BROOKLYN CENTER, MN 55430
Phone: (612) 695-5614

Quick Facts

NPI: 1477170777
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 2
Locations: 1

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