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Individual

DR. JOANNA MARIE RUSSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1925 KALAKAUA AVE APT 2207, HONOLULU, HI 96815-1889
(914) 582-0039
Mailing address
1925 KALAKAUA AVE APT 2207, HONOLULU, HI 96815-1889
(914) 582-0039

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
6112
HI

Other

Enumeration date
07/08/2011
Last updated
07/08/2011
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