Daniel Russell
NPI #1912547886 in Ukiah, California
Provider Information
- NPI Number
- 1912547886
- Entity Type
- Individual
- Name
- Daniel Russell
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Rehabilitation Practitioner
- Enumeration Date
- Jan 8, 2020
- Last Updated
- Oct 20, 2023
Practice Location
- Address
- 800 N STATE ST
- City
- Ukiah
- State
- California
- ZIP Code
- 95482-3410
- Phone
- (707) 467-2010
Specialties & Taxonomy Codes
| Specialty |
|---|
| Rehabilitation Practitioner |
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