Individual
LINDA ANN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD, CDCES
Contact information
Practice address
10 HOSPITAL DR, BRIDGTON, ME 04009-1148
(207) 647-6062
(207) 647-6009
Mailing address
10 HOSPITAL DR, BRIDGTON, ME 04009-1148
(207) 647-6062
(207) 647-6009
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI314
ME
Other
Enumeration date
02/18/2021
Last updated
02/18/2021
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