DEDRA JANENE RUSSELL

SACRAMENTO, CA
NPI1467693432
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy324500000X Substance Abuse Rehabilitation Facility
(Licence: CA  340018AN)
Enumeration Date2009-03-20
Last Update Date2009-03-26
Business Address
-- DEDRA JANENE RUSSELL RAS
1001 GRAND AVE
SACRAMENTO, CA 95838-3512
Phone number: 916-929-1951
Mailing Address
-- DEDRA JANENE RUSSELL RAS
PO BOX 38369
SACRAMENTO, CA 95838-0369
Phone number: 916-929-1951
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