Individual
ELISABETH RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26822 LEWES GEORGETOWN HWY UNIT B, HARBESON, DE 19951-2856
(302) 233-1671
Mailing address
PO BOX 356, KENTON, DE 19955-0356
(302) 233-1671
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-0015180
DE
Other
Enumeration date
11/22/2024
Last updated
11/22/2024
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