NPI 1871891374

Karen Marie Russell, DTRCHC

Practitioner Registered Dietetic Technician Dover, OH

Practice location

Address: 2203 Dessecker Dr NE, Dover, OH 44622
Phone: (330) 340-8314
Mailing address: 2203 Dessecker Dr NE, Dover, OH 44622-6988

Registered specialties

Registered Dietetic Technician Primary

Dietary & Nutritional Service Providers Taxonomy 136A00000X Licence 717561 (OH)

Other Dietetic Technician, Registered providers in Ohio →

Registry record

NPI: 1871891374
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Mar 2011
Record last updated: 8 Mar 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.