Individual
MR. RUSSELL JOSEPH NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPRS
Contact information
Practice address
1526 REPUBLIC ST, CINCINNATI, OH 45202-7016
(513) 241-2965
Mailing address
1526 REPUBLIC ST, CINCINNATI, OH 45202-7016
(513) 241-2965
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
APS003338
OH
Other
Enumeration date
02/15/2023
Last updated
02/15/2023
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