| NPI | 1033799275 |
|---|---|
| Professional Name | JARROD DAUN RUSSELL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: OK 37V975170419) |
| Additional Taxonomies | 3747P1801X Technician Personal Care Attendant (Licence: OK 37V975170419) |
| 385H00000X Respite Care (Licence: OK 37V975170419) | |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2022-01-19 |