Individual
GLEN KENNETH RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
422 S.MARIPOSA, 202, LOS ANGELES, CA 90020
(213) 531-6325
Mailing address
422 S.MARIPOSA, 202, LOS ANGELES, CA 90020
(213) 531-6325
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN221980
CA
Other
Enumeration date
04/06/2011
Last updated
04/06/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us