Individual
COURTNEY ANNE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 BEULAH ST, SAN FRANCISCO, CA 94117-3909
(415) 861-0828
(415) 861-0140
Mailing address
368 FELL ST, SAN FRANCISCO, CA 94102-5144
(415) 861-0828
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/27/2019
Last updated
11/02/2021
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