Individual
MR. RALPH WILLIAM RUSSELL II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4108 SAN MARCO DR, GLEN ALLEN, VA 23060-6194
(804) 998-7398
(804) 597-6413
Mailing address
4108 SAN MARCO DR, GLEN ALLEN, VA 23060-6194
(804) 998-7398
(804) 597-6413
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
VA
Other
Enumeration date
08/30/2024
Last updated
08/30/2024
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