Individual
WHITNEY RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
413 LITTLE CREEK CT, JACKSONVILLE, NC 28546-8737
(757) 869-4255
Mailing address
413 LITTLE CREEK CT, JACKSONVILLE, NC 28546-8737
(757) 869-4255
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86024460
—
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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