MARIELA PEREZ RUSSO

TRUMBULL, CT
NPI1811474612
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133N00000X Nutritionist
Additional Taxonomies133N00000X Nutritionist
(Licence: CT  1644)
Enumeration Date2018-07-24
Last Update Date2018-07-24
Business Address
MARIELA PEREZ RUSSO MD, CNS
290 BOOTH HILL RD
TRUMBULL, CT 06611-4943
Phone number: 646-255-9510
Mailing Address
MARIELA PEREZ RUSSO MD, CNS
290 BOOTH HILL RD
TRUMBULL, CT 06611-4943
Phone number: 646-255-9510
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