Individual
MRS. BRENDA DARLENE RUSSELL-HOSPENTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
11216 SUNRISE BLVD E, SUITE 3-203, PUYALLUP, WA 98374-8848
(253) 864-6519
Mailing address
11216 SUNRISE BLVD E, SUITE 3-203, PUYALLUP, WA 98374-8848
(253) 864-6519
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00009642
WA
Other
Enumeration date
01/30/2007
Last updated
04/11/2011
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