CODY RUSSELL

MAUMEE, OH
NPI1982293577
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OH  175775)
Enumeration Date2021-01-18
Last Update Date2021-01-18
Business Address
CODY RUSSELL
1757 INDIAN WOOD CIR
MAUMEE, OH 43537-4009
Phone number: 833-692-9134
Mailing Address
CODY RUSSELL
1757 INDIAN WOOD CIR
MAUMEE, OH 43537-4009
Phone number: