Individual
DR. JACQUELINE J RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
117 W RIDGE PIKE, STUDIO 2, CONSHOHOCKEN, PA 19428-1297
(610) 825-5333
Mailing address
81 NEWBURY WAY, LANSDALE, PA 19446-4381
(610) 825-5333
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC003535L
PA
Other
Enumeration date
01/15/2010
Last updated
01/15/2010
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