MRS. Kendal Corrine Russell
NPI #1114176823 in Fountain Valley, California
Provider Information
- NPI Number
- 1114176823
- Entity Type
- Individual
- Name
- MRS. Kendal Corrine Russell
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Sep 17, 2008
- Last Updated
- Sep 17, 2008
Practice Location
- Address
- 16480 HARBOR BLVD
- Address 2
- SUITE 103
- City
- Fountain Valley
- State
- California
- ZIP Code
- 92708-1361
- Phone
- (714) 418-1575
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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