Individual
CHRISTYLE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1504 JAKE ALEXANDER BLVD W, SALISBURY, NC 28147-1213
(704) 298-5614
Mailing address
429 HAVENBROOK WAY NW, CONCORD, NC 28027-4113
(704) 298-5614
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
097590
NC
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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