MS. Shonda Russell

NPI #1619470507 in Waynoka, Oklahoma

Provider Information

NPI Number
1619470507
Entity Type
Individual
Name
MS. Shonda Russell
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Case Management
Enumeration Date
Mar 16, 2018
Last Updated
Mar 16, 2018

Practice Location

Address
1095 S. NICKERSON ST.
ZIP Code
73860
Phone
(580) 824-0674

Specialties & Taxonomy Codes

Specialty
Case Management

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