DATAVIA RUSSELL

BALTIMORE, MD
NPI1396520888
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MD  LP56057)
Enumeration Date2023-08-31
Last Update Date2023-08-31
Business Address
DATAVIA RUSSELL LPN
821 N EUTAW ST
BALTIMORE, MD 21201-4648
Phone number: 410-225-9185
Mailing Address
DATAVIA RUSSELL LPN
3913 NORFOLK AVE
BALTIMORE, MD 21216-1240
Phone number: 443-413-8732
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