Individual
WILLIAM G RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
674 STRANDER BLVD, TUKWILA, WA 98188-2923
(425) 204-9999
Mailing address
131 ENTERPRISE RD, JOHNSTOWN, NY 12095-3326
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA00003614
WA
Other
Enumeration date
01/18/2013
Last updated
01/18/2013
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