Organization · Type 2 NPI
Jacqueline R. Buckley, LLC
Foot & Ankle Surgery Podiatrist · Renton, WA
NPI number
1568085454
Active
Practice location
1412 SW 43rd St
Renton, WA 98057-4803
Fax (844) 979-3080
Mailing address
9706 S 230th Pl
Kent, WA 98031-2728
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | None listed |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1568085454
Jacqueline R. Buckley, LLC's National Provider Identifier is 1568085454, issued on May 26, 2020. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Renton, WA. The record was last updated on May 26, 2020.