Individual
MR. JONATHAN RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
280 HOME OLU PL., KAUNAKAKAI, HI 96748
(808) 553-5331
Mailing address
41 FLAX ISLE DR, LITTLE EGG HARBOR TWP, NJ 08087-2316
(808) 553-5331
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN121387
HI
Other
Enumeration date
12/02/2025
Last updated
12/02/2025
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