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La Shawn Russell
NPI 1194157826 · on the registry since 2013 · sole proprietor
Practice
- Address
- 3503 Cromwell Ct
Perris, CA 92571 - Phone
- (951) 943-0869
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Contractor
171W00000X
- Sex
- Female
- Record last updated
- 2013-08-05
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