Tina Marie Russell

NPI 1275664633 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1275664633
Gender Female
Enumeration Date 03/08/2007
Last Updated 11/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
VALDEZ AK, 99686, US
Phone (907) 835-3274
Fax (907) 835-3574
Business Location
PO BOX 1812
VALDEZ AK, 99686, US
Phone (907) 835-4480
Taxonomy Code 171M00000X
License State
License Number
Remove 1275664633 NPI Number

According to our database, Mrs. Tina Marie Russell NPI is 1275664633, taxonomy code is 171M00000X Tina Marie Russell physically located at 218 Chenega St, Valdez AK, 99686. NPI Number Tina Marie Russell has the Individual type.

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1275664633 NPI number is provided on an as is basis without warranty of any kind. 1275664633 is maintained by the National Plan & Provider Enumeration System. The contents of Tina Marie Russell are for informational purposes only.