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Individual

HANNAH RUSSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
17707 W MAIN ST FL 1, MONROE, WA 98272-1967
(360) 282-3885
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(253) 681-6626

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
11/28/2017
Last updated
05/03/2024
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