Johanna Serena Russo

NPI #1629710959 in Jackson, Michigan

Provider Information

NPI Number: 1629710959
Entity Type: Individual
Name: Johanna Serena Russo
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Doula
Enumeration Date: Apr 7, 2022
Last Updated: Apr 7, 2022

Practice Location

Address: 3426 ROOSEVELT RD
City: Jackson
State: Michigan
ZIP Code: 49203-5290
Phone: (517) 791-7724

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Doula	374J00000X	Primary

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