Individual
JULIE MARIE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DIETITIAN
Contact information
Practice address
730 W MARKET ST, LIMA, OH 45801-4602
(419) 225-7301
Mailing address
PO BOX 951999, CLEVELAND, OH 44193-0021
(419) 227-3361
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
5137
OH
Other
Enumeration date
01/05/2007
Last updated
12/28/2009
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