CHARITY DENEISE RUSSELL

VANCOUVER, WA
NPI1134944879
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WA  LP60300776)
Enumeration Date2024-11-18
Last Update Date2024-11-18
Business Address
CHARITY DENEISE RUSSELL LPN
12501 NW 19TH AVE
VANCOUVER, WA 98685-2416
Phone number: 360-773-7927
Mailing Address
CHARITY DENEISE RUSSELL LPN
12501 NW 19TH AVE
VANCOUVER, WA 98685-2416
Phone number: 360-773-7927