DANIEL RUSSELL

UKIAH, CA
NPI1912547886
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2020-01-08
Last Update Date2023-10-20
Business Address
DANIEL RUSSELL
800 N STATE ST
UKIAH, CA 95482-3410
Phone number: 707-467-2010
Mailing Address
DANIEL RUSSELL
PO BOX 2077
UKIAH, CA 95482-2077
Phone number: 077-467-2010
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