JASON RUSSO

VENTURA, CA
NPI1124358569
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  226922)
Enumeration Date2010-01-07
Last Update Date2010-01-07
Business Address
-- JASON RUSSO LVN
95 S SANTA ROSA ST
VENTURA, CA 93001-3442
Phone number: 805-205-4787
Mailing Address
-- JASON RUSSO LVN
95 S SANTA ROSA ST
VENTURA, CA 93001-3442
Phone number: 805-205-4787
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