Individual
DR. JACQUELINE LORRAINE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3700 RESERVOIR RD NW, WASHINGTON, DC 20007-2111
(573) 275-4720
Mailing address
3800 RESERVOIR RD NW DEPT OF, WASHINGTON, DC 20007-2113
(202) 444-5022
(202) 444-7987
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2022
Last updated
03/27/2022
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