Individual
MRS. DEBRA P. RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R. N.
Contact information
Practice address
8401 CANYON RUN RD NE, ALBUQUERQUE, NM 87111-6608
(505) 256-0977
Mailing address
8401 CANYON RUN RD NE, ALBUQUERQUE, NM 87111-6608
(505) 256-0977
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R24587
NM
Other
Enumeration date
04/06/2011
Last updated
04/06/2011
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