RUSSELL SHANNON HUMPHRIES

PORT ORANGE, FL
NPI1497769210
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: FL  CH3773)
Enumeration Date2006-07-28
Last Update Date2007-07-08
Business Address
-- RUSSELL SHANNON HUMPHRIES DC
4343 RIDGEWOOD AVENUE SUITE B
PORT ORANGE, FL 32127
Phone number: 386-767-2727
Mailing Address
-- RUSSELL SHANNON HUMPHRIES DC
4343 RIDGEWOOD AVENUE SUITE B
PORT ORANGE, FL 32127
Phone number: 386-767-2727