RYAN A RUSSELL

NORTHRIDGE, CA
NPI1710175559
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
Enumeration Date2007-10-05
Last Update Date2007-10-05
Business Address
RYAN A RUSSELL CP
8540 RESEDA BLVD
NORTHRIDGE, CA 91324-4628
Phone number: 818-718-4643
Mailing Address
RYAN A RUSSELL CP
8540 RESEDA BLVD
NORTHRIDGE, CA 91324-4628
Phone number: 818-718-4643