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Individual

CELENA RUSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1004 SUSHRUTA DR STE D, MARTINSBURG, WV 25401-8801
(304) 262-2538
(304) 262-2583
Mailing address
395 TEAL RD N, MARTINSBURG, WV 25405-8385

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
85629
WV

Other

Enumeration date
03/13/2018
Last updated
03/13/2018
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