Individual
DANIEL BRIAN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
1600 EUREKA RD, ROSEVILLE, CA 95661-3027
(916) 784-4000
Mailing address
1600 EUREKA RD, ROSEVILLE, CA 95661-3027
(916) 784-4000
Taxonomy
Speciality
Code
Description
License number
State
2278C0205X
Critical Care Certified Respiratory Therapist
Primary
35805
CA
Other
Enumeration date
12/11/2018
Last updated
12/11/2018
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