Shilo Russell
NPI #1952004897 in Poplar Bluff, Missouri
Provider Information
- NPI Number
- 1952004897
- Entity Type
- Individual
- Name
- Shilo Russell
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Mar 22, 2023
- Last Updated
- Mar 22, 2023
Practice Location
- Address
- 2995 WARRIOR LN
- City
- Poplar Bluff
- State
- Missouri
- ZIP Code
- 63901-8600
- Phone
- (573) 712-2902
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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