BRIAN RUSSELL

SAN DIEGO, CA
NPI1851900401
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TS0200X Psychologist, School
Enumeration Date2020-07-29
Last Update Date2020-07-29
Business Address
BRIAN RUSSELL
4714 MOUNT ALIFAN DR
SAN DIEGO, CA 92111-2508
Phone number: 858-229-9314
Mailing Address
BRIAN RUSSELL
4714 MOUNT ALIFAN DR
SAN DIEGO, CA 92111-2508
Phone number:
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