KILA RUSSELL

MC DONALD, TN
NPI1821743493
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224P00000X Prosthetist
Additional Taxonomies224P00000X Prosthetist
Enumeration Date2022-02-13
Last Update Date2022-02-13
Business Address
KILA RUSSELL
3818 S LEE HWY
MC DONALD, TN 37353-5876
Phone number: 423-320-7794
Mailing Address
KILA RUSSELL
3818 S LEE HWY
MC DONALD, TN 37353-5876
Phone number: 423-320-7794