Individual
BETH RUSSELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
610 TEN ROD RD UNIT 5, NORTH KINGSTOWN, RI 02852-4206
(401) 410-1776
Mailing address
610 TEN ROD RD UNIT 5, NORTH KINGSTOWN, RI 02852-4206
(401) 410-1776
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
09/14/2017
Last updated
07/21/2022
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