Individual
NADIA T RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RRT RCP
Contact information
Practice address
CORNER OF ROUTES N12 & N7, FORT DEFIANCE, AZ 86504-8650
(928) 729-8000
Mailing address
2568 W RANCH ST APT 201, CARLSBAD, CA 92010-5635
(314) 933-0165
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
43055
CA
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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