Individual
MS. DIANA L RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1068 DELIA AVE, AKRON, OH 44320-2059
(330) 606-7590
(330) 983-9164
Mailing address
1068 DELIA AVE, AKRON, OH 44320-2059
(330) 606-7590
(330) 983-9164
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN094269 MED IV
OH
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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