Ilese Buchanan's National Provider Identifier (NPI) Details
Ilese Buchanan, MS
NPI: 1912372335
Enumeration Date: 2015-12-10
Last updated: 2019-12-05
Sole Proprietor: YES
Status: active
Postal Address: 3400 CENTRAL AVE STE 310, RIVERSIDE, CA
Phone: 951-344-6428
Primary Practice Address: PO BOX 52015, RIVERSIDE, CA
Practice's phone: