TEKIA RUSSELL

BAXLEY, GA
NPI1417614371
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy372600000X Adult Companion
Additional Taxonomies3747A0650X Technician, Attendant Care Provider
Enumeration Date2021-11-26
Last Update Date2021-11-26
Business Address
TEKIA RUSSELL
1190 LAWANNA DR
BAXLEY, GA 31513-6859
Phone number: 912-347-5076
Mailing Address
TEKIA RUSSELL
1190 LAWANNA DR
BAXLEY, GA 31513-6859
Phone number: 912-347-5076