Cody Russell

NPI #1982293577 in Maumee, Ohio

Provider Information

NPI Number
1982293577
Entity Type
Individual
Name
Cody Russell
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Jan 18, 2021
Last Updated
Jan 18, 2021

Practice Location

Address
1757 INDIAN WOOD CIR
City
Maumee
State
Ohio
ZIP Code
43537-4009
Phone
(833) 692-9134

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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