Jalicia Buckholts

NPI #1528790326 in Vienna, Georgia

Provider Information

NPI Number
1528790326
Entity Type
Individual
Name
Jalicia Buckholts
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Registered Nurse
Enumeration Date
Jun 29, 2022
Last Updated
Jun 29, 2022

Practice Location

Address
511 CLOVER ST
City
Vienna
State
Georgia
ZIP Code
31092-0904
Phone
(229) 815-1325

Specialties & Taxonomy Codes

Specialty
Registered Nurse

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