KIMBERLY RUSSOM

UNION CITY, TN
NPI1508506536
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TN  31286)
Enumeration Date2022-03-29
Last Update Date2022-03-29
Business Address
KIMBERLY RUSSOM NP
1705 W REELFOOT AVE
UNION CITY, TN 38261-5569
Phone number: 731-599-1102
Mailing Address
KIMBERLY RUSSOM NP
1705 W REELFOOT AVE
UNION CITY, TN 38261-5569
Phone number: 731-599-1102
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