MRS. Shelly B Russ, LPN

NPI #1609159243 in Amanda, Ohio

Provider Information

NPI Number
1609159243
Entity Type
Individual
Name
MRS. Shelly B Russ, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Sep 20, 2011
Last Updated
Sep 20, 2011

Practice Location

Address
6495 JULIAN RD SW
City
Amanda
State
Ohio
ZIP Code
43102-9527
Phone
(740) 969-4499

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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