person
Sandra Geraldine Russo, RD
Metabolic Nutrition Registered Dietitian in Long Beach, California
NPI 1467657767

Sandra Geraldine Russo is a Metabolic Nutrition Registered Dietitian based in Long Beach, CA and is specialized in Nutrition, Metabolic. Sandra Geraldine Russo practices in Long Beach, CA and has the professional credentials of RD. The NPI Number for Sandra Geraldine Russo is 1467657767 and holds a License No. 838417 (California).

The current practice location address for Sandra Geraldine Russo is 2925 Palo Verde Ave, Long Beach, CA and can be reached out via phone at 562-429-2473 and via fax at 562-496-5577. You can also correspond with Sandra Geraldine Russo through the mailing address at 2925 PALO VERDE AVE, LONG BEACH, CA - 90815-1552 (mailing address contact number: 562-429-2473).

Location: 2925 Palo Verde Ave, Long Beach, CA, 90815-1552
person
Provider Profile Details
NPI Number
1467657767
Provider Name
Sandra Geraldine Russo
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
2925 Palo Verde Ave, Long Beach, CA, 90815-1552
Phone Number
562-429-2473
Fax Number
562-496-5577
Provider Enumeration Date
06/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8381417 01 CA CDR
institution
Provider Business Practice Location Address Details
Address
2925 Palo Verde Ave
City
State
Zip
90815-1552
Phone Number
562-429-2473
Fax Number
562-496-5577
person
Provider Business Mailing Address Details
Address
2925 Palo Verde Ave
City
State
Zip
90815-1552
Phone Number
562-429-2473
Fax Number
562-496-5577
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
Nutrition, Metabolic
Taxonomy
License No.
838417 (California)
Definition
Definition to come...
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