INGRID KRISTINA RUSSO

SHIRLEY, NY
NPI1831492594
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  262771)
Enumeration Date2010-12-17
Last Update Date2010-12-17
Business Address
-- INGRID KRISTINA RUSSO L.P.N.
15 MANOR DR
SHIRLEY, NY 11967-4213
Phone number: 631-281-7245
Mailing Address
-- INGRID KRISTINA RUSSO L.P.N.
15 MANOR DR
SHIRLEY, NY 11967-4213
Phone number: 631-281-7245
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