Individual
JENIFER RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18947 JOHN J WILLIAMS HWY, REHOBOTH BEACH, DE 19971-4474
(302) 645-3770
Mailing address
18947 JOHN J WILLIAMS HWY, REHOBOTH BEACH, DE 19971-4474
(302) 645-3770
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
L1-0026203
DE
Other
Enumeration date
01/12/2015
Last updated
01/12/2015
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