Individual
HALEY ANN RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HOME HEALTH AIDE
Contact information
Practice address
2538 OLD HARRIMAN HWY, OLIVER SPRINGS, TN 37840-2733
(865) 898-1112
Mailing address
2538 OLD HARRIMAN HWY, OLIVER SPRINGS, TN 37840-2733
(865) 898-1112
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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