Individual
MS. TAMELA MICHELLE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 MURRAY PL, LYNCHBURG, VA 24501-5004
(434) 439-3283
Mailing address
4000 MURRAY PL, LYNCHBURG, VA 24501-5004
(434) 439-3283
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002102131
VA
Other
Enumeration date
03/22/2022
Last updated
03/22/2022
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