DATAVIA RUSSELL, LPN

LPN

Licensed Practical Nurse

NPI: 1396520888Individual

Specialties, Licenses & Credentials

Licensed Practical NursePrimary

Licensed Practical Nurse

Code: 164W00000X

LP56057(MD)

Contact & Hours

Address: 821 N EUTAW ST
BALTIMORE, MD 21201
Phone: (410) 225-9185

Quick Facts

NPI: 1396520888
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 1
Locations: 1

Are you this provider?

Claim Your Profile