Individual
ANNETTE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29 JULIAN PL, SAINT MARYS, GA 31558-3740
(904) 206-9590
Mailing address
29 JULIAN PL, SAINT MARYS, GA 31558-3740
(904) 206-9590
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/30/2024
Last updated
08/30/2024
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