Individual
JOHANNA SERENA RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3426 ROOSEVELT RD, JACKSON, MI 49203-5290
(517) 791-7724
Mailing address
3426 ROOSEVELT RD, JACKSON, MI 49203-5290
(517) 791-7724
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
MI
Other
Enumeration date
04/07/2022
Last updated
04/07/2022
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