ANNALISE RUSSO

JEFFERSON, LA
NPI1558034322
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: LA  328185)
Enumeration Date2021-07-28
Last Update Date2021-10-20
Business Address
ANNALISE RUSSO PA-C
1514 JEFFERSON HWY
JEFFERSON, LA 70121-2429
Phone number: 866-624-7637
Mailing Address
ANNALISE RUSSO PA-C
1514 JEFFERSON HWY
NEW ORLEANS, LA 70121-2429
Phone number: 504-842-4000