Individual
DELVIN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
6019 WALNUT GROVE RD, MEMPHIS, TN 38120-2113
(901) 226-5000
Mailing address
3549 GREENSIDE DR APT 303, MEMPHIS, TN 38125-0719
(901) 406-5339
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
47550
TN
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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