Individual
MRS. JUANITA RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SCHOOL NURSE
Contact information
Practice address
73 JUNEFIELD AVE, CINCINNATI, OH 45218-1229
(513) 619-2390
(513) 619-2398
Mailing address
73 JUNEFIELD AVE, CINCINNATI, OH 45218-1229
(513) 619-2390
(513) 619-2398
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
PN106463
OH
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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