Individual
VALERIE ROSE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
639 BATTLES RD, GATES MILLS, OH 44040-9768
(216) 835-7200
Mailing address
639 BATTLES RD, GATES MILLS, OH 44040-9768
(216) 835-7200
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50.008409RX
OH
Other
Enumeration date
08/24/2023
Last updated
01/10/2024
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