Individual
AUDREY RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
5211 LOCUST AVE, LONG BEACH, CA 90805-6411
(614) 832-4209
Mailing address
5211 LOCUST AVE, LONG BEACH, CA 90805-6411
(614) 832-4209
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
95041584
CA
Other
Enumeration date
07/02/2015
Last updated
02/08/2016
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