JESSE RUSSELL

ORANGE, CA
NPI1568197655
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  PT24890)
Enumeration Date2022-07-21
Last Update Date2022-07-21
Business Address
JESSE RUSSELL
401 S TUSTIN ST BLDG D
ORANGE, CA 92866-2550
Phone number: 714-289-3936
Mailing Address
JESSE RUSSELL
401 S TUSTIN ST BLDG D
ORANGE, CA 92866-2550
Phone number: 714-289-3936
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