Individual
CRISTINA LATOYA RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
72 ELMWOOD AVE, WATERBURY, CT 06710-1529
(347) 235-7817
Mailing address
72 ELMWOOD AVE, WATERBURY, CT 06710-1529
(347) 235-7817
Taxonomy
Speciality
Code
Description
License number
State
163WI0600X
Infection Control Registered Nurse
Primary
131575
CT
Other
Enumeration date
01/20/2022
Last updated
01/20/2022
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