Anita Russell
NPI #1306453741 in Fairfield Township, Ohio
Provider Information
- NPI Number
- 1306453741
- Entity Type
- Individual
- Name
- Anita Russell
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Homemaker
- Enumeration Date
- Sep 29, 2020
- Last Updated
- Sep 29, 2020
Practice Location
- Address
- 6443 KIMBERLY DR
- State
- Ohio
- ZIP Code
- 45011-5055
- Phone
- (513) 919-1128
Specialties & Taxonomy Codes
| Specialty |
|---|
| Homemaker |
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