Tamara Russell
NPI 1093539587 · on the registry since 2024 · sole proprietor
Practice
- Address
- 3420 Franklin Ave
Toledo, OH 43608 - Phone
- (419) 309-2719
- Organisation at this address
- Mudd Made T Shirts R Village
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Homemaker
376J00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-11-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio