Individual
ABIGAIL ELIZABETH RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7880 113TH ST, SEMINOLE, FL 33772-4616
(727) 391-1876
Mailing address
7880 113TH ST, SEMINOLE, FL 33772-4616
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
PSI28591
FL
Other
Enumeration date
07/17/2013
Last updated
07/17/2013
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