Russo, Vanessa

Russo, Vanessa is an sole proprietor health care provider with primary practice located at 455 E Main St , Stratford CT 06614-4420. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutritionist, which is considered as her primary health care specialty. Russo, Vanessa can be contacted via phone (203) 243-9975.

Contact Information

Primary practice address
455 E Main St Stratford CT 06614-4420
Phone: (203) 243-9975
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X

Profile Details

NPI number 1740967470
LBN Legal business name Russo, Vanessa
Credentials MSC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 4th, 2023
Last updated Jan 14th, 2024 - about last year

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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