Latrece Russell
Latrece Russell is an Other Technician in Chicago, Illinois. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
4734 S Prairie AveChicago, IL 60615-1206
Phone: (708) 252-1958
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Other Technician (primary) | Taxonomy 247200000X |
|---|
Record details
| NPI number | 1073936100 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 24, 2014 |
| Last updated in NPPES | January 24, 2014 |
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