Individual
ANA M RUSSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDA.
Contact information
Practice address
URB. ATENAS MARGINAL ELLIOT VELEZ, J-20, MANATI, PR 00674
(787) 884-8923
(787) 884-8923
Mailing address
PO BOX 443, MOROVIS, PR 00687-0443
(787) 862-5368
(787) 862-5368
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
765
PR
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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