Fredreaka Russell

NPI 1649452178 - Social Worker - 104100000X

NPI Details
NPI 1649452178
Gender Female
Enumeration Date 11/27/2007
Last Updated 11/27/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
530 E HUNT HWY
SUITE 103-230
QUEEN CREEK AZ, 85243-6581, US
Phone (602) 579-7880
Fax
Business Location
530 E HUNT HWY
SUITE 103-230
QUEEN CREEK AZ, 85243-6581, US
Phone
Fax
Toxanomy
Taxonomy Code 104100000X
License State
License Number
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According to our database, Fredreaka Russell NPI is 1649452178, taxonomy code is 104100000X Fredreaka Russell physically located at 530 E Hunt Hwy, Queen Creek AZ, 85243-6581. NPI Number Fredreaka Russell has the Individual type.

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1649452178 NPI number is provided on an as is basis without warranty of any kind. 1649452178 is maintained by the National Plan & Provider Enumeration System. The contents of Fredreaka Russell are for informational purposes only.