MACY E RUSSELL

OAKWOOD, OH
NPI1174285225
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: OH  50.007165RX)
Enumeration Date2021-10-06
Last Update Date2021-10-06
Business Address
MACY E RUSSELL
414 OAKWOOD AVE
OAKWOOD, OH 45409-2217
Phone number: 937-548-3063
Mailing Address
MACY E RUSSELL
PO BOX 932746
CLEVELAND, OH 44193-2746
Phone number: 937-548-3063