RUSSELL SHIVELY

EUREKA, CA
NPI1396360582
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2020-06-12
Last Update Date2020-06-12
Business Address
RUSSELL SHIVELY
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
Mailing Address
RUSSELL SHIVELY
PO BOX 5231
EUREKA, CA 95502-5231
Phone number: 707-502-4763
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