Antoinette Russell
Antoinette Russell is a Paramedic in Lakeside, Arizona. Practices as a sole proprietor. Licensed in Arizona.
- Licensed in
- AZ
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
2922 W White Mountain BlvdLakeside, AZ 85929-6152
Phone: (928) 368-6112
Fax: (928) 368-5643
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Paramedic (primary) | Taxonomy 146L00000X · Licence 111 (AZ) |
|---|---|
| Basic Emergency Medical Technician | Taxonomy 146N00000X · Licence 111 (AZ) |
Record details
| NPI number | 1457743916 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 20, 2015 |
| Last updated in NPPES | February 20, 2015 |
| Mailing address | 2922 W White Mountain Blvd, Lakeside, AZ 85929-6152 |