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Jaqueese Russell
NPI 1104665124 · on the registry since 2024
Practice
- Address
- 390 40th St
Oakland, CA 94609 - Phone
- (510) 899-0128
- Fax
- (510) 569-4589
- Organisation at this address
- Bacs
Thunder Road
Bay Area Community Services
Bay Area Community Services, Inc.
Bay Area Community Services, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 773
Registry record
- Primary taxonomy
- Community Health Worker
172V00000X
- Sex
- Female
- Record last updated
- 2024-06-27
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 California