Individual
MRS. KATHRYN MARIE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., R.D.N.
Contact information
Practice address
2543 WOODMONT DR E, CANTON, MI 48188
(734) 635-7771
Mailing address
2543 WOODMONT DR E, CANTON, MI 48188
(734) 635-7771
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/12/2015
Last updated
10/12/2015
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