Wanda L Russell
Wanda L Russell is a Registered Dietitian in Hammond, Louisiana. Licensed in Louisiana. Registered with an NPI since 2009.
- Licensed in
- LA
- In the registry since
- 2009
Practice location Address checks out
620 N Morrison Blvd Ste GHammond, LA 70401-2312
Phone: (985) 543-4113
Fax: (985) 543-4109
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Specialties & licences
| Registered Dietitian (primary) | Taxonomy 133V00000X · Licence 445 (LA) |
|---|
Record details
| NPI number | 1891921607 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 8, 2009 |
| Last updated in NPPES | January 31, 2013 |
| Mailing address | 620 N Morrison Blvd, Suite G, Hammond, LA 70401-2312 |
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