Jacob Russell

NPI #1114785532 in Ludington, Michigan

Provider Information

NPI Number
1114785532
Entity Type
Individual
Name
Jacob Russell
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Mar 11, 2024
Last Updated
Mar 11, 2024

Practice Location

Address
920 DIANA ST
ZIP Code
49431-1987
Phone
(231) 845-6294

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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