Benjamin Brundage Russak
NPI #1720773641 in Weaverville, California
Provider Information
- NPI Number
- 1720773641
- Entity Type
- Individual
- Name
- Benjamin Brundage Russak
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Apr 6, 2023
- Last Updated
- Apr 6, 2023
Practice Location
- Address
- 1450 MAIN ST
- City
- Weaverville
- State
- California
- ZIP Code
- 96093-1099
- Phone
- (530) 623-1362
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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