Dana S Russell
Dana S Russell is an Optician in Clovis, California. Licensed in California. Registered with an NPI since 2009.
- Licensed in
- CA
- In the registry since
- 2009
Practice location Address checks out
20 N Dewitt AveClovis, CA 93612-0311
Phone: (559) 299-2578
Fax: (559) 299-1557
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X · Licence SL6061 (CA) |
|---|
Record details
| NPI number | 1215261425 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 22, 2009 |
| Last updated in NPPES | September 22, 2009 |
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