Individual
JOANN JOHNSON RUSSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
81 PEARL STEET, HYANNIS, MA 02601
(508) 775-6240
Mailing address
81 PEARL STEET, HYANNIS, MA 02601
(508) 775-6240
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/05/2008
Last updated
02/05/2008
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