|Active||Over 10 years ago|
|5494 PONY EXPRESS TRAIL
POLLOCK PINES CA, 95726, US
|2173 DANBURY WAY
RANCHO CORDOVA CA, 95670-2271, US
|Remove 1255465530 NPI Number|
According to our database, Ms. Theresa Joanne Russell CADC-11 NPI is 1255465530, taxonomy code is 174400000X and license number is A8463203, license state is located at California. Theresa Joanne Russell CADC-11 physically located at 5494 Pony Express Trail, Pollock Pines CA, 95726. NPI Number Theresa Joanne Russell CADC-11 has the Individual type.
1255465530 NPI number is provided on an as is basis without warranty of any kind. 1255465530 is maintained by the National Plan & Provider Enumeration System. The contents of Theresa Joanne Russell CADC-11 are for informational purposes only.