Individual
CATHERINE N RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1421 E OAKLAND PARK BLVD, OAKLAND PARK, FL 33334-4434
(954) 565-0875
(954) 565-0876
Mailing address
1421 E OAKLAND PARK BLVD, OAKLAND PARK, FL 33334-4434
(954) 565-0875
(954) 565-0876
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAT9104841
FL
Other
Enumeration date
11/12/2008
Last updated
11/12/2008
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