Individual
MARY HELEN RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-A
Contact information
Practice address
750 N OCEAN BLVD, # 602, POMPANO BEACH, FL 33062-4644
(615) 345-5400
Mailing address
3 MARYLAND FARMS STE 200, BRENTWOOD, TN 37027-5780
(615) 345-5400
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
02015
MO
231H00000X
Audiologist
Primary
AY1727
FL
Other
Enumeration date
05/12/2010
Last updated
12/20/2018
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