Renita Yvette Russell
NPI #1164680930 in Lancaster, California
Provider Information
- NPI Number
- 1164680930
- Entity Type
- Individual
- Name
- Renita Yvette Russell
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Rehabilitation Practitioner
- Enumeration Date
- May 29, 2008
- Last Updated
- Jun 5, 2008
Practice Location
- Address
- 921 W AVENUE J
- Address 2
- SUITE C
- City
- Lancaster
- State
- California
- ZIP Code
- 93534-3443
- Phone
- (661) 949-0131
Specialties & Taxonomy Codes
| Specialty |
|---|
| Rehabilitation Practitioner |
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