Individual
JESSICA RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7712 LAKE RIDGE DR, WATERFORD, MI 48327-4164
(248) 505-7204
Mailing address
7712 LAKE RIDGE DR, WATERFORD, MI 48327-4164
(248) 505-7204
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703109555
MI
Other
Enumeration date
05/20/2016
Last updated
05/20/2016
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