Samantha Leigh Russo, RD
NPI #1740894369 in Lunenburg, Massachusetts
Provider Information
- NPI Number
- 1740894369
- Entity Type
- Individual
- Name
- Samantha Leigh Russo, RD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dietitian, Registered
- Credential
- RD
- Enumeration Date
- Sep 1, 2020
- Last Updated
- Sep 1, 2020
Practice Location
- Address
- 1459 MASSACHUSETTS AVE
- City
- Lunenburg
- State
- Massachusetts
- ZIP Code
- 01462-1845
- Phone
- (860) 888-2379
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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