FATIA RUSSELL

Prosthetist

Active Individual
NPI: 1356843379

Practice Address

6245 LAKEHAVEN DR
Fayetteville, NC 28304

Phone: (910) 479-6214

Specialties

Specialty Code Primary License
Prosthetist 224P00000X Yes 108796 (NC)

Frequently Asked Questions

NPI 1356843379 is the National Provider Identifier for FATIA RUSSELL, a Prosthetist provider located in Fayetteville, NC. This NPI was enumerated on March 6, 2018.
FATIA RUSSELL practices at 6245 LAKEHAVEN DR, Fayetteville, NC 28304.

Quick Facts

NPI
1356843379
Type
Individual
Enumerated
Mar 6, 2018
Last Updated
Aug 31, 2019

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