Individual
ALESSIA RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,RD,LD
Contact information
Practice address
1564 WINCHESTER DR, APT 1564, WESTLAKE, OH 44145-2114
(440) 465-1308
Mailing address
1564 WINCHESTER DR, APT 1564, WESTLAKE, OH 44145-2114
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD 7840
OH
Other
Enumeration date
02/14/2016
Last updated
02/14/2016
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