TAMMY RUSSUM

PLYMOUTH MEETING, PA
NPI1801021415
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: DE  L2-0005567)
Enumeration Date2009-05-27
Last Update Date2009-05-27
Business Address
-- TAMMY RUSSUM LPN
2250 HICKORY RD SUITE 240
PLYMOUTH MEETING, PA 19462-1047
Phone number: 610-834-1122
Mailing Address
-- TAMMY RUSSUM LPN
32759 SPRING WATER DR
MILLSBORO, DE 19966-7127
Phone number: