Individual
AMBER RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
6845 LEMON AVE, LONG BEACH, CA 90805-1529
(562) 822-3818
Mailing address
6845 LEMON AVE, LONG BEACH, CA 90805-1529
(562) 822-3818
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/10/2025
Last updated
12/10/2025
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