Individual
REGINA ANN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1818 FAIRMOUNT AVE APT 2, CINCINNATI, OH 45214-1293
(513) 227-0750
Mailing address
1818 FAIRMOUNT AVE APT 2, CINCINNATI, OH 45214-1293
(513) 227-0750
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
01/04/2021
Last updated
01/04/2021
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