Individual
EULA RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
186 SAWYER ST, CRAIGSVILLE, WV 26205-8950
(304) 846-3326
Mailing address
186 SAWYER ST, CRAIGSVILLE, WV 26205-8950
(304) 846-3326
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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