Individual
CAITLYN RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AD OF NURSING
Contact information
Practice address
60 FOREST PARK DR, APT. D, HAMILTON, OH 45011-0834
(513) 253-2454
Mailing address
60 FOREST PARK DR, APT. D, HAMILTON, OH 45011-0834
(513) 253-2454
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
358321
OH
Other
Enumeration date
03/20/2010
Last updated
03/20/2010
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