Medina Y Russell

NPI #1265998744 in Belton, Missouri

Provider Information

NPI Number
1265998744
Entity Type
Individual
Name
Medina Y Russell
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Home Health
Enumeration Date
Feb 20, 2019
Last Updated
Feb 20, 2019

Practice Location

Address
604 FALL CREEK DR
City
Belton
ZIP Code
64012-7814
Phone
(480) 387-8096

Specialties & Taxonomy Codes

Specialty
Home Health

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