IVORY RUSS

ST AUGUSTINE, FL
NPI1255042826
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251E00000X Home Health
(Licence: FL  31101007)
Enumeration Date2022-12-05
Last Update Date2023-01-30
Business Address
IVORY RUSS
300 SUMMER BREEZE WAY APT 1106
ST AUGUSTINE, FL 32086-1804
Phone number: 912-342-9829
Mailing Address
IVORY RUSS
300 SUMMER BREEZE WAY APT 1106
ST AUGUSTINE, FL 32086-1804
Phone number: 912-342-9829
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