Sharon Russell
NPI #1730467580 in Fort Defiance, Arizona
Provider Information
- NPI Number
- 1730467580
- Entity Type
- Organization
- Organization Name
- Sharon Russell
- Primary Specialty
- Home Health
- Enumeration Date
- Jul 28, 2011
- Last Updated
- Aug 15, 2011
Practice Location
- Address
- ROUTE 12 OLD CRYSTAL ROAD ON LEFT
- City
- Fort Defiance
- State
- Arizona
- ZIP Code
- 86504
- Phone
- (505) 713-2649
Authorized Official
- Name
- SHARON LYNN RUSSELL
- Title
- OWNER/HUMAN RESOURCES
- Phone
- (505) 713-2649
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Home Health |
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