Individual
HEATHER RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1646 S COURT ST, VISALIA, CA 93277-4962
(559) 625-8890
Mailing address
1646 S COURT ST, VISALIA, CA 93277-4962
(559) 625-8890
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
703841
CA
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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