Individual
DONTE RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 HILL AVE APT 142, BLUEFIELD, WV 24701-2199
(304) 960-3445
Mailing address
1600 HILL AVE APT 142, BLUEFIELD, WV 24701-2199
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/12/2024
Last updated
07/12/2024
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