MITCHELL RUSSO

SAN DIEGO, CA
NPI1285267617
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  297093)
Enumeration Date2020-02-13
Last Update Date2020-02-13
Business Address
MITCHELL RUSSO DPT
15004 INNOVATION DR
SAN DIEGO, CA 92128-3491
Phone number: 858-605-7189
Mailing Address
MITCHELL RUSSO DPT
10790 RANCHO BERNARDO RD MAIL DROP 4S-205 IN ADDRESS 2 BOX
SAN DIEGO, CA 92127
Phone number:
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