Individual
ALLEXS RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
66 EARLMOOR BLVD, PONTIAC, MI 48341-2816
(586) 765-8639
Mailing address
66 EARLMOOR BLVD, PONTIAC, MI 48341-2816
(586) 765-8639
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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