THERESA MARIE RUSSO

WEST HOLLYWOOD, CA
NPI1972904506
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MA  227170)
Enumeration Date2014-09-15
Last Update Date2020-02-25
Business Address
Ms. THERESA MARIE RUSSO NP
7531 SANTA MONICA BLVD STE 101A
WEST HOLLYWOOD, CA 90046-6481
Phone number: 323-988-5900
Mailing Address
Ms. THERESA MARIE RUSSO NP
7531 SANTA MONICA BLVD STE 101A
WEST HOLLYWOOD, CA 90046-6481
Phone number: 323-988-5900
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