ALEXIS BROOKE RUSSELL

GALLIPOLIS, OH
NPI1730968025
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2023-09-26
Last Update Date2023-09-26
Business Address
ALEXIS BROOKE RUSSELL
1591 STATE ROUTE 160
GALLIPOLIS, OH 45631-9052
Phone number: 800-321-8293
Mailing Address
ALEXIS BROOKE RUSSELL
PO BOX 132
ATHENS, OH 45701-0132
Phone number: