Individual
MR. RUSSELL WILLIAM SUNDERLAND JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 EAGLE RD, ALAMEDA, CA 94501-5100
(510) 437-3581
Mailing address
1 EAGLE RD, ALAMEDA, CA 94501-5100
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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