Individual
JAIME RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 WRENN DR # 393, CARY, NC 27511-5433
(703) 663-0079
Mailing address
150 WRENN DR # 393, CARY, NC 27511-5433
(703) 663-0079
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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