Individual
KATHERINE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
506 BUNGALOW WOODS DR, HOLDEN, WV 25625
(304) 687-8277
Mailing address
506 BUNGALOW WOODS DR, HOLDEN, WV 25625
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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