Individual
JESSE COHEN RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
35620 321ST ST NE, ARLINGTON, WA 98223-9205
(360) 913-8774
(877) 524-4405
Mailing address
P.O.BOX 195, DARRINGTON, WA 98241
(360) 913-8774
(877) 524-4405
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00098188
WA
Other
Enumeration date
08/06/2013
Last updated
08/06/2013
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