RUSSELL RUTHERFORD

ALBUQUERQUE, NM
NPI1821399023
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2010-11-04
Last Update Date2010-11-04
Business Address
-- RUSSELL RUTHERFORD
6301 CENTRAL AVE NW
ALBUQUERQUE, NM 87105-2036
Phone number: 505-343-1918
Mailing Address
-- RUSSELL RUTHERFORD
8924 SHOSHONE RD NE
ALBUQUERQUE, NM 87111-4624
Phone number: