Sonya A Russo, C.N.M., W.H.N.P.

NPI #1962576504 in Normal, Illinois

Provider Information

NPI Number
1962576504
Entity Type
Individual
Name
Sonya A Russo, C.N.M., W.H.N.P.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Midwife
Credential
C.N.M., W.H.N.P.
Enumeration Date
Nov 17, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1300 FRANKLIN AVE
Address 2
SUITE #270
City
Normal
ZIP Code
61761-3592
Phone
(309) 454-1074

Specialties & Taxonomy Codes

Specialty
Midwife

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