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Jaquitua Russell
NPI 1174986244 · on the registry since 2016 · sole proprietor
Practice
- Address
- 5005 Longstreet Pl Unit 1
Bossier City, LA 71112 - Phone
- (714) 929-6744
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Case Manager/Care Coordinator
171M00000X
- Sex
- Female
- Record last updated
- 2018-07-14
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 Louisiana