RYAN RUSSO

SAN DIEGO, CA
NPI1295336956
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy364S00000X Clinical Nurse Specialist
(Licence: CA  4605)
Enumeration Date2020-11-07
Last Update Date2020-11-07
Business Address
RYAN RUSSO
2376 SOTO ST
SAN DIEGO, CA 92107-1410
Phone number: 414-803-6018
Mailing Address
RYAN RUSSO
2376 SOTO ST
SAN DIEGO, CA 92107-1410
Phone number: 414-803-6018
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