Individual
MS. JILL ELIZABETH RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2017 S THUNDERBIRD DR, APACHE JUNCTION, AZ 85220
(480) 474-1170
Mailing address
2017 S THUNDERBIRD DR, APACHE JUNCTION, AZ 85220
(480) 474-1170
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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