Individual
ANGELA RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6946 STATE ROUTE 93, OAK HILL, OH 45656-9359
(740) 688-9072
Mailing address
6946 STATE ROUTE 93, OAK HILL, OH 45656-9359
(740) 688-9072
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
401271820711
OH
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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