Perez Russo, Mariela
Perez Russo, Mariela is an sole proprietor health care provider with primary practice located at 290 Booth Hill Rd , Trumbull CT 06611-4943. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutritionist, which is considered as her primary health care specialty. Perez Russo, Mariela can be contacted via phone (646) 255-9510.Contact Information
Primary practice address
290 Booth Hill Rd
Trumbull CT 06611-4943
Phone: (646) 255-9510
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutritionist | 133N00000X | 1644 | Connecticut |
| Dietary & Nutritional Service Providers / Nutritionist | 133N00000X |
Profile Details
| NPI number | 1811474612 |
|---|---|
| LBN Legal business name | Perez Russo, Mariela |
| Credentials | MD, CNS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 24th, 2018 |
| Last updated | Jul 24th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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