Individual
COLLEEN HENDERSON RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1238 HUFFMAN MILL RD, BURLINGTON, NC 27215-8700
(336) 538-8173
(336) 538-8033
Mailing address
1238 HUFFMAN MILL RD, BURLINGTON, NC 27215-8700
(336) 538-8173
(336) 538-8033
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L000737
NC
Other
Enumeration date
05/11/2009
Last updated
05/13/2009
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