Individual
MS. CYNTHIA ELLEN RUSSELL-MCCLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P., P.A.-C
Contact information
Practice address
23 UPPER RAGSDALE DR, SUITE 200, MONTEREY, CA 93940-7849
(831) 375-3577
(831) 375-1478
Mailing address
17621 CUNHA LN, SALINAS, CA 93907-1528
(831) 754-1544
(831) 754-2984
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
PA14098
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GR0091130
MEDI-CAL
CA
01
—
ZZZ15145Z
MEDICARE ID
CA
Enumeration date
12/22/2006
Last updated
01/27/2014
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