CARISSA L RUSSELL

OTHELLO, WA
NPI1750507166
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: WA  DH00006949)
Enumeration Date2007-04-17
Last Update Date2007-07-08
Business Address
Ms. CARISSA L RUSSELL RDH
140 E MAIN STREET
OTHELLO, WA 99344
Phone number: 509-488-5256
Mailing Address
Ms. CARISSA L RUSSELL RDH
140 E MAIN STREET
OTHELLO, WA 99344
Phone number: 509-488-5256
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