Gina M Russo

NPI 1366658841 - Counselor - 101YA0400X

NPI Details
NPI 1366658841
Gender Female
Enumeration Date 05/14/2007
Last Updated 07/09/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
9140 VAN NUYS BLVD STE 211
PANORAMA CITY CA, 91402-6764, US
Phone (818) 895-2206
Fax
Business Location
8902 WOODMAN AVE
ARLETA CA, 91331-6401, US
Phone (818) 830-7133
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State
License Number
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According to our database, Gina M Russo NPI is 1366658841, taxonomy code is 101YA0400X Gina M Russo physically located at 9140 Van Nuys Blvd Ste 211, Panorama City CA, 91402-6764. NPI Number Gina M Russo has the Individual type.

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1366658841 NPI number is provided on an as is basis without warranty of any kind. 1366658841 is maintained by the National Plan & Provider Enumeration System. The contents of Gina M Russo are for informational purposes only.