MS. Elizabeth Russell

NPI #1023327590 in Saint Johns, Florida

Provider Information

NPI Number
1023327590
Entity Type
Individual
Name
MS. Elizabeth Russell
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Enumeration Date
Oct 1, 2010
Last Updated
Oct 1, 2010

Practice Location

Address
120 GATEWAY CIR
Address 2
UNIT 2
State
Florida
ZIP Code
32259-4082
Phone
(904) 824-9804

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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