Amanda Ashley Russ

NPI #1679048367 in Geneva, New York

Provider Information

NPI Number
1679048367
Entity Type
Individual
Name
Amanda Ashley Russ
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Oct 9, 2018
Last Updated
Oct 9, 2018

Practice Location

Address
178 WILLIAM ST
City
Geneva
ZIP Code
14456-2554
Phone
(315) 830-8591

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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