Tara Ray Russell, LPN
NPI #1508162991 in Mcconnelsville, Ohio
Provider Information
- NPI Number
- 1508162991
- Entity Type
- Individual
- Name
- Tara Ray Russell, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Feb 1, 2011
- Last Updated
- Dec 27, 2021
Practice Location
- Address
- 114 N TAYLOR HOLLOW RD NE
- City
- Mcconnelsville
- State
- Ohio
- ZIP Code
- 43756-9629
- Phone
- (740) 651-8876
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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