Ingrid Kristina Russo, L.P.N.

NPI #1831492594 in Shirley, New York

Provider Information

NPI Number
1831492594
Entity Type
Individual
Name
Ingrid Kristina Russo, L.P.N.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
L.P.N.
Enumeration Date
Dec 17, 2010
Last Updated
Dec 17, 2010

Practice Location

Address
15 MANOR DR
ZIP Code
11967-4213
Phone
(631) 281-7245

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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