Individual
MILICA KOVIJANIC RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD AUDIOLOGY
Contact information
Practice address
4141 GEARY BLVD, SAN FRANCISCO, CA 94118-3109
(415) 833-2202
Mailing address
4141 GEARY BLVD FL 1, SAN FRANCISCO, CA 94118-3118
(415) 833-8222
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU2498
CA
237600000X
Audiologist-Hearing Aid Fitter
HA7310
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
569030
—
HI
Enumeration date
04/09/2008
Last updated
06/14/2023
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