Individual
ALICIA RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21077 PARKSIDE BLVD, FERNDALE, MI 48220-2248
(248) 721-9883
Mailing address
21077 PARKSIDE BLVD, FERNDALE, MI 48220-2248
(810) 471-8060
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
02/01/2023
Last updated
02/01/2023
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