Individual
ALYSSA LYNNE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI1393
ME
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
Update your record
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