Individual
VANESSA RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSC
Contact information
Practice address
455 E MAIN ST, STRATFORD, CT 06614-4420
(203) 243-9975
Mailing address
455 E MAIN ST, STRATFORD, CT 06614-4420
(203) 243-9975
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
002324
CT
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
07/04/2023
Last updated
04/16/2025
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