RENITA YVETTE RUSSELL

LANCASTER, CA
NPI1164680930
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2008-05-29
Last Update Date2008-06-05
Business Address
-- RENITA YVETTE RUSSELL
921 W AVENUE J SUITE C
LANCASTER, CA 93534-3443
Phone number: 661-949-0131
Mailing Address
-- RENITA YVETTE RUSSELL
40944 KNOLL DR
PALMDALE, CA 93551-5627
Phone number: 661-400-3551