MARY EILEEN KUMAH RUSSELL

PHOENIX, AZ
NPI1417518747
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: AZ  228209)
Enumeration Date2019-06-26
Last Update Date2022-03-31
Business Address
MARY EILEEN KUMAH RUSSELL ACNP
625 N 6TH ST
PHOENIX, AZ 85004-2155
Phone number: 602-406-8222
Mailing Address
MARY EILEEN KUMAH RUSSELL ACNP
PO BOX 33269
PHOENIX, AZ 85067-3269
Phone number: 602-406-4786
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