Ashlyn Russo

NPI #1720769979 in Edwardsville, Illinois

Provider Information

NPI Number: 1720769979
Entity Type: Individual
Name: Ashlyn Russo
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jul 31, 2023
Last Updated: Jul 31, 2023

Practice Location

Address: 1 HAIRPIN DRIVE
City: Edwardsville
State: Illinois
ZIP Code: 62026-0001
Phone: (619) 650-5688

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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