Individual
VICTORIA LUZ RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11007 73RD RD APT 6J, FOREST HILLS, NY 11375-6357
(347) 806-5822
Mailing address
11007 73RD RD APT 6J, FOREST HILLS, NY 11375-6357
(347) 806-5822
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
474104
NY
Other
Enumeration date
03/08/2022
Last updated
03/08/2022
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