JESSIKA LYNN RUSSELL

WINSTON SALEM, NC
NPI1932782166
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NC  A5651)
Enumeration Date2021-05-05
Last Update Date2021-05-05
Business Address
JESSIKA LYNN RUSSELL
1199 HAYES FOREST DR
WINSTON SALEM, NC 27106-3377
Phone number: 336-337-5113
Mailing Address
JESSIKA LYNN RUSSELL
9923 REYNOLDA RD
TOBACCOVILLE, NC 27050-9729
Phone number: 336-337-5113