MARY RUSSELL

FRENCH CAMP, CA
NPI1457832651
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-08-24
Last Update Date2018-08-24
Business Address
Miss MARY RUSSELL
500 W HOSPITAL RD
FRENCH CAMP, CA 95231-9693
Phone number: 209-468-6013
Mailing Address
Miss MARY RUSSELL
500 W HOSPITAL RD
FRENCH CAMP, CA 95231-9693
Phone number: