Individual
EUNJI RUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18 TECHNOLOGY DR STE 206, IRVINE, CA 92618-2314
(949) 540-9152
Mailing address
19203 MIRASOL, IRVINE, CA 92620-0333
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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