MS. Pamela Jean Russell, R.D., L.D.

NPI #1083892632 in Berkeley, Missouri

Provider Information

NPI Number: 1083892632
Entity Type: Individual
Name: MS. Pamela Jean Russell, R.D., L.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: R.D., L.D.
Enumeration Date: Feb 6, 2008
Last Updated: Feb 6, 2008

Practice Location

Address: 6065 HELEN AVE
City: Berkeley
State: Missouri
ZIP Code: 63134-2013
Phone: (314) 522-6410

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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