Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SANDRA GERALDINE RUSSO, RD
ActiveSANDRA GERALDINE RUSSO, RD is a Metabolic Nutrition healthcare provider located in LONG BEACH, California. NPI 1467657767 is currently active in the NPPES registry. Verify at CMS.
Metabolic Nutrition · LONG BEACH, CA
Registration Details
- NPI Number
- 1467657767
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 18, 2007 (19.194544923011 yrs)
- Last Updated
- Aug 26, 2008
- License
-
838417 (CA)
Practice Information
- Address
-
2925 PALO VERDE AVELONG BEACH, CA, 908151552Browse CA providers · Browse ZIP 90815
- Phone
- 5624292473
- Fax
- 5624965577
- Primary Specialty
-
Metabolic Nutrition
133VN1006X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.