STEPHANIE ALICE RUSSELL

YAKIMA, WA
NPI1093983959
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: WA  987692)
Enumeration Date2008-02-13
Last Update Date2008-02-13
Business Address
-- STEPHANIE ALICE RUSSELL RD, CD
808 N 39TH AVE
YAKIMA, WA 98902-6388
Phone number: 509-574-3408
Mailing Address
-- STEPHANIE ALICE RUSSELL RD, CD
808 N 39TH AVE
YAKIMA, WA 98902-6388
Phone number: