KRYSTLE RUSSOW

DETROIT, MI
NPI1063076081
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2279P3800X Respiratory Therapist, Registered, Palliative/Hospice
(Licence: MI  4401006619)
Enumeration Date2019-04-25
Last Update Date2019-04-25
Business Address
Mrs. KRYSTLE RUSSOW RRT
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number: 313-671-9555
Mailing Address
Mrs. KRYSTLE RUSSOW RRT
7413 RED BIRD DR
YPSILANTI, MI 48197-9454
Phone number: 313-671-9555
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