Individual
J. RUSSELL MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2175 ROSALINE AVE, REDDING, CA 96001-2549
(530) 917-8572
(530) 229-3703
Mailing address
PO BOX 496084, REDDING, CA 96049-6084
(530) 241-5400
(530) 241-9265
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G327270
CA
Other
Enumeration date
10/03/2006
Last updated
05/10/2016
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