RUSSENDER POWELL

FRISCO, TX
NPI1093385635
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: TX  DT81929)
Additional Taxonomies133VN1006X Dietitian, Registered, Nutrition, Metabolic
(Licence: TX  DT81929)
133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management
(Licence: TX  DT81929)
Enumeration Date2021-06-27
Last Update Date2021-06-27
Business Address
RUSSENDER POWELL RD, LD, CDCES
3809 WELLESLEY AVE
FRISCO, TX 75034-1513
Phone number: 214-403-7428
Mailing Address
RUSSENDER POWELL RD, LD, CDCES
3809 WELLESLEY AVE
FRISCO, TX 75034-1513
Phone number: 214-403-7428