SUSAN LEE RUSSO

FAIRFAX, VA
NPI1962493866
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: VA  0024094866)
Enumeration Date2005-10-31
Last Update Date2007-07-08
Business Address
-- SUSAN LEE RUSSO C.N.M.
4001 FAIR RIDGE DR SUITE 303
FAIRFAX, VA 22033-2917
Phone number: 703-359-4842
Mailing Address
-- SUSAN LEE RUSSO C.N.M.
3701 FIERY RUN RD
LINDEN, VA 22642-1831
Phone number:
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