Tavisha Nakia Russell, CNA
NPI #1114337003 in Lakewood, Washington
Provider Information
- NPI Number
- 1114337003
- Entity Type
- Individual
- Name
- Tavisha Nakia Russell, CNA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse's Aide
- Credential
- CNA
- Enumeration Date
- May 1, 2014
- Last Updated
- May 1, 2014
Practice Location
- Address
- 9600 VETERANS DRIVE
- City
- Lakewood
- State
- Washington
- ZIP Code
- 98493
- Phone
- (253) 582-8440
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse's Aide |
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