Individual
BARBARA DORE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
43 HILLSBORO DR, ORCHARD PARK, NY 14127-3433
(716) 481-0562
Mailing address
43 HILLSBORO DR, ORCHARD PARK, NY 14127-3433
(716) 481-0562
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
06/08/2020
Last updated
06/08/2020
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