Individual
REBECCA MARIE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9 STEARNS LN, DANVILLE, PA 17821-8850
(570) 759-3970
(570) 570-7841
Mailing address
9 STEARNS LN, DANVILLE, PA 17821-8850
(570) 764-0286
(570) 570-7841
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN683582
PA
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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