Individual
LEIGH ANN RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CDE
Contact information
Practice address
1260 MONROE AVE, SUITE 15H, NEW PHILADELPHIA, OH 44663
(330) 602-5339
(330) 602-4388
Mailing address
1260 MONROE AVE, SUITE 15H, NEW PHILADELPHIA, OH 44663
(330) 602-5339
(330) 602-4388
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
251632
OH
Other
Enumeration date
10/02/2008
Last updated
10/02/2008
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