Mrs Brenda Rose Russell, LPN | |
3009 Shelly Rd, Ravenna, OH 44266-9415 | |
(330) 696-3875 | |
Not Available |
Full Name | Mrs Brenda Rose Russell |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 3009 Shelly Rd, Ravenna, Ohio |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518237494 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 146330 (Ohio) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mrs Brenda Rose Russell, LPN 3009 Shelly Rd, Ravenna, OH 44266-9415 Ph: (330) 696-3875 | Mrs Brenda Rose Russell, LPN 3009 Shelly Rd, Ravenna, OH 44266-9415 Ph: (330) 696-3875 |
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