MR. Richard A. Russell, LD

NPI #1679792675 in Salem, Ohio

Provider Information

NPI Number: 1679792675
Entity Type: Individual
Name: MR. Richard A. Russell, LD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Credential: LD
Enumeration Date: Apr 25, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1995 E STATE ST
City: Salem
State: Ohio
ZIP Code: 44460-2423
Phone: (330) 332-7664

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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