Sandra Geraldine Russo RD

NPI 1467657767 - Dietitian, Registered - 133VN1006X

NPI Details
NPI 1467657767
Gender Female
Enumeration Date 06/18/2007
Last Updated 08/26/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
2925 PALO VERDE AVE
LONG BEACH CA, 90815-1552, US
Phone (562) 429-2473
Fax (562) 496-5577
Business Location
2925 PALO VERDE AVE
LONG BEACH CA, 90815-1552, US
Phone (562) 429-2473
Fax
Toxanomy
Taxonomy Code 133VN1006X
License State California
License Number 838417
Remove 1467657767 NPI Number
 

According to our database, Sandra Geraldine Russo RD NPI is 1467657767, taxonomy code is 133VN1006X and license number is 838417, license state is located at California. Sandra Geraldine Russo RD physically located at 2925 Palo Verde Ave, Long Beach CA, 90815-1552. NPI Number Sandra Geraldine Russo RD has the Individual type.

Sponsored links

1467657767 NPI number is provided on an as is basis without warranty of any kind. 1467657767 is maintained by the National Plan & Provider Enumeration System. The contents of Sandra Geraldine Russo RD are for informational purposes only.