Jeanette L Russell

NPI #1194233767 in Silverdale, Washington

Provider Information

NPI Number: 1194233767
Entity Type: Individual
Name: Jeanette L Russell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 17, 2018
Last Updated: Jan 17, 2018

Practice Location

Address: 9481 BAYSHORE DR NW STE 201
City: Silverdale
State: Washington
ZIP Code: 98383-8378
Phone: (360) 328-5045

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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