LOLLY RUSSELL

POMONA, CA
NPI1962962340
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  187837)
Enumeration Date2019-03-22
Last Update Date2019-03-22
Business Address
LOLLY RUSSELL
2180 VALLEY BLVD
POMONA, CA 91768-3325
Phone number: 909-865-2336
Mailing Address
LOLLY RUSSELL
15519 CRENSHAW BLVD
GARDENA, CA 90249-4597
Phone number: 310-926-9126
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