GLEN KENNETH RUSSELL

LOS ANGELES, CA
NPI1780973172
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  VN221980)
Enumeration Date2011-04-06
Last Update Date2011-04-06
Business Address
-- GLEN KENNETH RUSSELL LVN
422 S.MARIPOSA 202
LOS ANGELES, CA 90020
Phone number: 213-531-6325
Mailing Address
-- GLEN KENNETH RUSSELL LVN
422 S.MARIPOSA 202
LOS ANGELES, CA 90020
Phone number: 213-531-6325
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