| NPI | 1295353951 |
|---|---|
| Former Legal Business Name | DR. PAM RUSSELL, LLC. |
| Former Legal Business Name | DR PAM RUSSELL LLC |
| Entity Type | Organization |
| Authorized Contact | PAMELA RUSSELL RUSSELL CEO 904-830-0737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP1600X Counselor, Pastoral |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2024-08-13 |