Individual
BILLIE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1397 NORWOOD ST NW, WARREN, OH 44485-1957
(216) 835-7317
Mailing address
1330 STERLING DR, CORTLAND, OH 44410-9222
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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