Individual
MS. LOUISE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6401 YORK RD, BALTIMORE COUNTY HEALTH DEPT., BALTIMORE, MD 21212-2152
(410) 887-2754
Mailing address
6401 YORK RD, BALTIMORE COUNTY HEALTH DEPT., BALTIMORE, MD 21212-2152
(410) 887-2754
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
01988
MD
Other
Enumeration date
10/17/2007
Last updated
10/17/2007
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