Individual
MARIANNA VLADIMIROVNA RUSSU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.T.(R)
Contact information
Practice address
3800 MICHAELS CREEK WAY, LOGANVILLE, GA 30052-5183
(510) 695-4721
Mailing address
3800 MICHAELS CREEK WAY, LOGANVILLE, GA 30052-5183
(510) 695-4721
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
I089047
—
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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