Jessica Russ, CCP
Jessica Russ, CCP is a Perfusionist in Phoenix, Arizona. Licensed in Nevada. Registered with an NPI since 2014.
- Licensed in
- NV
- In the registry since
- 2014
Practice location Address checks out
10930 N Tatum Blvd Ste 103Phoenix, AZ 85028-6069
Phone: (602) 263-7600
Fax: (602) 212-0365
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Perfusionist (primary) | Taxonomy 242T00000X · Licence LP030 (NV) |
|---|
Record details
| NPI number | 1174929129 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CCP |
| Sole proprietor | No |
| NPI enumerated | November 18, 2014 |
| Last updated in NPPES | November 18, 2014 |
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