Individual
DEANNA JONELLE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MSN
Contact information
Practice address
30 HUNTER LN, CAMP HILL, PA 17011-2499
(800) 748-3243
Mailing address
125 KIM WAY, CRESCENT CITY, CA 95531-9636
(707) 951-9444
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
660878
CA
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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