Tekia Russell

NPI #1417614371 in Baxley, Georgia

Provider Information

NPI Number: 1417614371
Entity Type: Individual
Name: Tekia Russell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Adult Companion
Enumeration Date: Nov 26, 2021
Last Updated: Nov 26, 2021

Practice Location

Address: 1190 LAWANNA DR
City: Baxley
State: Georgia
ZIP Code: 31513-6859
Phone: (912) 347-5076

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician - Attendant Care Provider — Attendant Care Provider	3747A0650X
Adult Companion	372600000X	Primary

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