JODY ANN RUSSELL

MONTICELLO, NY
NPI1750652830
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  264167)
Enumeration Date2012-01-20
Last Update Date2012-01-20
Business Address
Mrs. JODY ANN RUSSELL LPN
45 BREAKEY AVE
MONTICELLO, NY 12701-2530
Phone number: 845-796-3058
Mailing Address
Mrs. JODY ANN RUSSELL LPN
45 BREAKEY AVE
MONTICELLO, NY 12701-2530
Phone number: 845-796-3058