Jaqueese Russell
Jaqueese Russell is a Community Health Worker in Oakland, California. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
390 40th StOakland, CA 94609-2633
Phone: (510) 899-0128
Fax: (510) 569-4589
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X |
|---|
Record details
| NPI number | 1104665124 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 20, 2024 |
| Last updated in NPPES | June 27, 2024 |
| Certification date | June 27, 2024 |
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