| NPI | 1477124626 |
|---|---|
| Professional Name | LAURA JANELLE BLICKENSTAFF-RUSSELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA VN165899) |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2021-07-08 |