Individual
MS. LINDA MARIE RUSSUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2206 MORRISON LN, FAIRFIELD, CA 94534-9725
(707) 863-9098
Mailing address
2206 MORRISON LN, FAIRFIELD, CA 94534-9725
(707) 863-9098
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
227021
CA
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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