RANDA RUSSELL

Peer Specialist

Active Individual
NPI: 1376395384

Practice Address

670 26TH ST APT 21
Ogden, UT 84401

Phone: (801) 719-7081

Specialties

Specialty Code Primary License
Peer Specialist 175T00000X Yes -

Frequently Asked Questions

NPI 1376395384 is the National Provider Identifier for RANDA RUSSELL, a Peer Specialist provider located in Ogden, UT. This NPI was enumerated on April 3, 2024.
RANDA RUSSELL practices at 670 26TH ST APT 21, Ogden, UT 84401.

Quick Facts

NPI
1376395384
Type
Individual
Enumerated
Apr 3, 2024
Last Updated
Apr 3, 2024

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