Individual
MS. CHENELLE DOMINIQUE RUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
1409 MAIN ST APT 7, CINCINNATI, OH 45202-7801
(513) 692-0926
Mailing address
1409 MAIN ST APT 7, CINCINNATI, OH 45202-7801
(513) 692-0926
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401270100711
OH
Other
Enumeration date
02/26/2019
Last updated
02/26/2019
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