Individual
HANNAH ELIZABETH RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN, CNSC
Contact information
Practice address
1493 CAMBRIDGE ST, -, CAMBRIDGE, MA 02139-1047
(603) 661-0698
Mailing address
79 BROOK ST APT 2R, BROOKLINE, MA 02445-6927
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86070446
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-
-
—
Enumeration date
09/08/2017
Last updated
09/08/2017
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