Individual
CECILIA RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RCR
Contact information
Practice address
207 GOBBLER CT, BOWLING GREEN, KY 42101-7429
(270) 791-3397
(270) 935-5299
Mailing address
207 GOBBLER CT, BOWLING GREEN, KY 42101-7429
(270) 791-3397
(270) 935-5299
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
9804744
TN
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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