TERESA M RUSSELL

SAN DIEGO, CA
NPI1770639346
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: CA  14528)
Enumeration Date2007-01-26
Last Update Date2009-05-15
Business Address
-- TERESA M RUSSELL NP
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number: 619-532-6950
Mailing Address
-- TERESA M RUSSELL NP
3485 OLD COBBLE CT
SAN DIEGO, CA 92111-4045
Phone number: 619-532-6950