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Individual

ANDREA SUSAN RUSSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAC, MACOM

Contact information

Practice address
5410 CALIFORNIA AVE SW, #203, SEATTLE, WA 98136-1562
(206) 200-3595
Mailing address
3206 46TH AVE SW, SEATTLE, WA 98116-3333
(206) 200-3595

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00002906
WA

Other

Enumeration date
12/29/2006
Last updated
08/15/2011
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