TRACIE RUSSELL

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1134584881

Practice Address

710 W POINSETTA AVE
Toledo, OH 43612

Phone: (419) 973-9209

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1134584881 is the National Provider Identifier for TRACIE RUSSELL, a Student in an Organized Health Care Education/Training Program provider located in Toledo, OH. This NPI was enumerated on December 23, 2015.
TRACIE RUSSELL practices at 710 W POINSETTA AVE, Toledo, OH 43612.

Quick Facts

NPI
1134584881
Type
Individual
Enumerated
Dec 23, 2015
Last Updated
Dec 23, 2015

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