Individual
ALEXIUS RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4700 LAS VEGAS BLVD N, LAS VEGAS, NV 89191-6600
(702) 653-2273
Mailing address
744 MISS CORAL LN APT 300, VIRGINIA BEACH, VA 23462-6592
(702) 379-2694
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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