TRACEY RUSSELL

PLYMOUTH MEETING, PA
NPI1861602401
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: PA  PN253327L)
Enumeration Date2007-05-23
Last Update Date2007-07-08
Business Address
-- TRACEY RUSSELL LPN
2250 HICKORY RD SUITE 240
PLYMOUTH MEETING, PA 19462-1047
Phone number: 610-834-1122
Mailing Address
-- TRACEY RUSSELL LPN
953 E OAK ST
PALMYRA, PA 17078-2820
Phone number: