MRS. Teri Jo Russell, RD
NPI #1467513929 in Wichita Falls, Texas
Provider Information
- NPI Number
- 1467513929
- Entity Type
- Individual
- Name
- MRS. Teri Jo Russell, RD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dietitian, Registered
- Credential
- RD
- Enumeration Date
- Dec 12, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 5411 STARWOOD AVE
- City
- Wichita Falls
- State
- Texas
- ZIP Code
- 76310-3339
- Phone
- (940) 696-8064
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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