Individual
BONNIE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
249 E MAIN ST STE 151, MONROE, WA 98272-1507
(360) 805-5700
Mailing address
6700 WASHINGTON AVE S, EDEN PRAIRIE, MN 55344-3405
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
—
—
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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