Individual
MR. RUFUS LEON RUSSELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4727 DENVER AVE S, SEATTLE, WA 98134-2316
(206) 767-1375
(206) 767-1397
Mailing address
4727 DENVER AVE S, SEATTLE, WA 98134-2316
(206) 767-1375
(206) 767-1397
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
VA00040759
WA
Other
Enumeration date
11/23/2005
Last updated
05/21/2008
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