Individual
ALYSSA RUSSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LND
Contact information
Practice address
CARRETERA 115 BARRIO PUEBLO URB VILLA LA PRADERA, CALLE GAVIOTAS # 51, RINCON, PR 00677-1766
(787) 515-2731
Mailing address
PO BOX 1766, RINCON, PR 00677-1766
(787) 515-2731
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
1423
PR
Other
Enumeration date
09/05/2008
Last updated
09/05/2008
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