JUSTINE NOELLE RUSSUM

TAMPA, FL
NPI1578742532
Former NameJUSTINE NOELLE SELKOW
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: FL  SA9930)
Enumeration Date2007-10-26
Last Update Date2022-01-12
Business Address
Mrs. JUSTINE NOELLE RUSSUM
6508 GUNN HIGHWAY
TAMPA, FL 33625-4022
Phone number: 813-963-6923
Mailing Address
Mrs. JUSTINE NOELLE RUSSUM
6508 GUNN HIGHWAY INDEPENDENT LIVING INC
TAMPA, FL 33625-4022
Phone number: 813-963-6923