Individual
MS. GABRIELLA TAYLOR RUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5079 BROWN RD, MUNNSVILLE, NY 13409-3025
(315) 750-8886
Mailing address
5079 BROWN RD, MUNNSVILLE, NY 13409-3025
(315) 750-8886
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
828236
NY
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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