Individual
ZENOBIA RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3040 E CHARLESTON BLVD, LAS VEGAS, NV 89104-2367
(314) 845-4081
Mailing address
3040 E CHARLESTON BLVD, LAS VEGAS, NV 89104-2367
(314) 845-4081
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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