Alexandra Russell
NPI #1891154548 in Colton, California
Provider Information
- NPI Number
- 1891154548
- Entity Type
- Individual
- Name
- Alexandra Russell
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Feb 22, 2016
- Last Updated
- Feb 22, 2016
Practice Location
- Address
- 400 N PEPPER AVE
- Address 2
- SUITE 107
- City
- Colton
- State
- California
- ZIP Code
- 92324-1801
- Phone
- (207) 431-1016
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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