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Individual

ERICA RUSSELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3807 MERRYMOUND RD, SOUTH EUCLID, OH 44121-1907
(216) 262-8389
Mailing address
3807 MERRYMOUND RD, SOUTH EUCLID, OH 44121-1907

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
343900000X
Non-emergency Medical Transport (VAN)
Primary
347C00000X
Private Vehicle

Other

Enumeration date
04/28/2026
Last updated
04/28/2026
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