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Kristin Russo

NPI 1588068423 · on the registry since 2014 · sole proprietor

Practice

Address
75 1/2 Pickering St
Danvers, MA 01923
Phone
(978) 766-9111

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-10-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts