Individual
MS. CHARLOTTE ELIZABETH RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
404 UNIVERSITY AVE, MARSHALL, TX 75670-5262
(318) 272-8295
Mailing address
404 UNIVERSITY AVE, MARSHALL, TX 75670-5262
(318) 272-8295
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
06001
TX
Other
Enumeration date
05/01/2007
Last updated
02/18/2013
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