Brenda Russell

NPI #1114166212 in Trumann, Arkansas

Provider Information

NPI Number
1114166212
Entity Type
Individual
Name
Brenda Russell
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Day Training/Habilitation Specialist
Enumeration Date
Feb 12, 2009
Last Updated
Feb 12, 2009

Practice Location

Address
1005 BALCOM LN
ZIP Code
72472-9502
Phone
(870) 483-1461

Specialties & Taxonomy Codes

Specialty
Day Training/Habilitation Specialist

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