Willliam Jared Russell
NPI #1184370561 in Lake Isabella, California
Provider Information
- NPI Number
- 1184370561
- Entity Type
- Individual
- Name
- Willliam Jared Russell
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Feb 24, 2022
- Last Updated
- Feb 24, 2022
Practice Location
- Address
- 2731 NUGGET AVE
- City
- Lake Isabella
- State
- California
- ZIP Code
- 93240-9456
- Phone
- (760) 379-3412
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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