Individual
LINDA F RUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9317 MALACHI LN, TALLAHASSEE, FL 32317-6711
(850) 508-1663
Mailing address
9317 MALACHI LN, TALLAHASSEE, FL 32317-6711
(850) 508-1663
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
FL
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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