DAVID RUSSELL

STOCKTON, CA
NPI1477167666
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA  95039943)
Enumeration Date2020-09-03
Last Update Date2025-06-03
Business Address
DAVID RUSSELL PMHNP
4545 GEORGETOWN PL STE D
STOCKTON, CA 95207
Phone number: 209-554-5581
Mailing Address
DAVID RUSSELL PMHNP
4545 GEORGETOWN PL STE D
STOCKTON, CA 95207-6229
Phone number: 209-554-5581
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