Individual
STEPHANIE BUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12210 CALLAWAY PL, HUGHESVILLE, MD 20637-2149
(240) 300-0524
Mailing address
12210 CALLAWAY PL, HUGHESVILLE, MD 20637-2149
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
01/02/2019
Last updated
04/15/2026
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