Individual
AMANDA BUXBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CNS, LDN
Contact information
Practice address
8632 GARFIELD ST, BETHESDA, MD 20817-6704
(301) 943-6952
Mailing address
8632 GARFIELD ST, BETHESDA, MD 20817-6704
(301) 943-6952
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
DX3296
MD
133NN1002X
Nutrition Education Nutritionist
DX3296
MD
Other
Enumeration date
08/04/2014
Last updated
08/04/2014
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