Individual
JORI LEE RUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8873 S OAK PARK DR APT 5, OAK CREEK, WI 53154-3819
(414) 248-1041
Mailing address
8873 S OAK PARK DR APT 5, OAK CREEK, WI 53154-3819
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
174173-30
WI
Other
Enumeration date
04/03/2012
Last updated
04/03/2012
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