Individual
MICHELLE BUCKINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6003 TOBY DR, TEMPLE HILLS, MD 20748-3741
(301) 316-2848
Mailing address
6003 TOBY DR, TEMPLE HILLS, MD 20748-3741
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D01512
MD
Other
Enumeration date
11/09/2017
Last updated
05/28/2021
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