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Organization

RUSSELL FAMILY ACUPUNCTURE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID CHRISTOPHER RUSSELL L.AC. (PRESIDENT)
(707) 773-3375
Entity
Organization

Contact information

Practice address
210 4TH ST STE C, PETALUMA, CA 94952-4199
(707) 773-3375
(707) 646-4342
Mailing address
210 4TH ST STE C, PETALUMA, CA 94952-4199
(707) 773-3375
(707) 646-4342

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Enumeration date
09/08/2019
Last updated
09/08/2019
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