Individual
CANIA RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1760 BARKER CYPRESS RD APT 226, HOUSTON, TX 77084-6157
(678) 548-7159
Mailing address
1760 BARKER CYPRESS RD APT 226, HOUSTON, TX 77084-6157
(678) 548-7159
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
943975
TX
Other
Enumeration date
05/30/2019
Last updated
05/30/2019
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