MRS. Angela Russell, LPN
NPI #1164412201 in Fort Stewart, Georgia
Provider Information
- NPI Number
- 1164412201
- Entity Type
- Individual
- Name
- MRS. Angela Russell, LPN
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Oct 27, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1061 HARMON AVE
- City
- Fort Stewart
- State
- Georgia
- ZIP Code
- 31314-5604
- Phone
- (912) 435-5680
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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