MR. Alphonso Russ JR., L.P.N
NPI #1316178957 in Deer Park, New York
Provider Information
- NPI Number
- 1316178957
- Entity Type
- Individual
- Name
- MR. Alphonso Russ JR., L.P.N
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- L.P.N
- Enumeration Date
- Jul 30, 2009
- Last Updated
- Jul 30, 2009
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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