MS. Comonique Russell
MS. Comonique Russell is a Home Health Aide in Mesa, Arizona. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
2151 E Southern Ave Apt 1082Mesa, AZ 85204-5358
Phone: (347) 581-8028
Fax: (480) 892-4991
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Home Health Aide (primary) | Taxonomy 374U00000X |
|---|
Record details
| NPI number | 1174121396 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 9, 2020 |
| Last updated in NPPES | October 9, 2020 |
| Certification date | October 9, 2020 |
| Mailing address | 2151 E Southern Ave Apt 1082, Mesa, AZ 85204-5358 |
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