Individual
FREDA RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
440 MEADOWS RD, CRAIGSVILLE, WV 26205
(304) 742-5369
Mailing address
PO BOX 1272, CRAIGSVILLE, WV 26205-1272
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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