Individual
LATIONNA RENNA RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 PENN CENTER BLVD STE 461, PITTSBURGH, PA 15235-5435
(412) 206-0934
Mailing address
201 PENN CENTER BLVD STE 461, PITTSBURGH, PA 15235-5435
(412) 206-0934
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
69963601
PA
Other
Enumeration date
12/28/2022
Last updated
01/30/2024
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