DAVID JOSEPH RUSSELL

MANTECA, CA
NPI1477167666
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA  95039943)
Enumeration Date2020-09-03
Last Update Date2023-02-24
Business Address
DAVID JOSEPH RUSSELL PMHNP
17846 GLENWOOD RD
MANTECA, CA 95336-9521
Phone number: 866-931-2587
Mailing Address
DAVID JOSEPH RUSSELL PMHNP
17846 GLENWOOD RD
MANTECA, CA 95336-9521
Phone number: 650-274-4324