Individual
DENISE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1347 SLATER ST APT 102, TOLEDO, OH 43612-2763
(419) 984-2351
Mailing address
1347 SLATER ST APT 102, TOLEDO, OH 43612-2763
(419) 984-2351
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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