Individual
MS. CHARITY O RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
16583 FIFE WAY, BOWIE, MD 20716-1894
(301) 523-6446
Mailing address
16583 FIFE WAY, BOWIE, MD 20716-1894
(301) 523-6446
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/28/2023
Last updated
12/28/2023
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