Individual
GUINETTA RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 37, AYLETT, VA 23009-0037
(508) 493-1584
Mailing address
PO BOX 37, AYLETT, VA 23009-0037
(508) 493-1584
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
VA
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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