MARTHA RUSSO

UPLAND, CA
NPI1770913824
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2013-11-26
Last Update Date2013-11-26
Business Address
-- MARTHA RUSSO
916 N MOUNTAIN AVE SUITE A
UPLAND, CA 91786-3697
Phone number: 909-932-1069
Mailing Address
-- MARTHA RUSSO
916 N MOUNTAIN AVE SUITE A
UPLAND, CA 91786-3697
Phone number: 909-932-1069
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