Individual
DACIA RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
494 E 123RD ST, CLEVELAND, OH 44108-1870
(216) 559-0807
Mailing address
494 E 123RD ST, CLEVELAND, OH 44108-1870
(216) 559-0807
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/27/2026
Last updated
02/27/2026
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