Individual
MRS. JEAN LOUISE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7720 N FRESNO ST STE 104, FRESNO, CA 93720-2407
(559) 438-2300
Mailing address
7720 N FRESNO ST STE 104, FRESNO, CA 93720-2407
(559) 438-2300
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A143458
CA
Other
Enumeration date
04/26/2013
Last updated
07/21/2022
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