Individual
MRS. MAGDALA LIMAGE RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4150 V ST STE 1200, SACRAMENTO, CA 95817-1460
(916) 456-1450
Mailing address
1613 HARRISON PKWY, SUNRISE, FL 33323-2896
(954) 838-2587
(954) 858-0116
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95000420
CA
367500000X
Certified Registered Nurse Anesthetist
AC002636
MD
367500000X
Certified Registered Nurse Anesthetist
ARNP9170477
FL
Other
Enumeration date
02/19/2009
Last updated
11/06/2023
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