RYAN J RUSSELL

GLENDALE, CA
NPI1154963114
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA  783097)
Enumeration Date2019-10-11
Last Update Date2019-10-11
Business Address
RYAN J RUSSELL
1509 WILSON TER
GLENDALE, CA 91206-4007
Phone number: 818-409-8000
Mailing Address
RYAN J RUSSELL
224 E DIXON ST
AZUSA, CA 91702-4907
Phone number:
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