Provider Demographics
NPI:1720883796
Name:BUCIO, MARIA D
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:D
Last Name:BUCIO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4605 TRIPLE CROWN DR
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93312-5126
Mailing Address - Country:US
Mailing Address - Phone:661-858-6989
Mailing Address - Fax:
Practice Address - Street 1:347 VILLAGE AVE
Practice Address - Street 2:
Practice Address - City:SHAFTER
Practice Address - State:CA
Practice Address - Zip Code:93263-2562
Practice Address - Country:US
Practice Address - Phone:661-240-0841
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-14
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker