Individual
MS. MARY SUZANNE RUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RRT, CPFT
Contact information
Practice address
215 N MAIN ST, WHITE RIVER JUNCTION, VT 05009-0001
(802) 295-9363
Mailing address
42 WOLF RD UNIT 823, LEBANON, NH 03766-1938
(802) 295-9363
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
—
—
Other
Enumeration date
08/24/2006
Last updated
07/08/2007
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