Individual
MRS. JUDITH ANITA RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 S MARSHALL ST, BOX 81, WINSTON SALEM, NC 27101-5852
(336) 722-4777
(336) 722-0097
Mailing address
1001 S MARSHALL ST, BOX 81, WINSTON SALEM, NC 27101-5852
(336) 722-4777
(336) 722-0097
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
HC2988
NC
376K00000X
Nurse's Aide
Primary
HC2988
NC
Other
Enumeration date
09/27/2006
Last updated
09/11/2025
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