Individual
RUSSELL RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
915 RHODE ISLAND AVE NW, WASHINGTON, DC 20001-4153
(202) 232-6100
(202) 644-7024
Mailing address
7916 BARCLAY PL, WHITE PLAINS, MD 20695-3461
(240) 521-7235
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/22/2024
Last updated
09/03/2025
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