Bianca J Russell
Bianca J Russell is a Rehabilitation Practitioner in Pasadena, California. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
940 Avenue 64Pasadena, CA 91105-2711
Phone: (323) 254-2274
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Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X |
|---|
Record details
| NPI number | 1861009078 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 30, 2020 |
| Last updated in NPPES | September 30, 2020 |
| Certification date | September 30, 2020 |
| Mailing address | 815 Colorado Blvd Ste 300, Los Angeles, CA 90041-1744 |
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