Individual
STEPHANIE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
68 MILLSTONE RD, BEAVER, OH 45613-9507
(740) 716-8040
Mailing address
68 MILLSTONE RD, BEAVER, OH 45613-9507
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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