Search › Ohio › 235Z00000X
Jaclyn Russo, M.S
NPI 1215349253 · on the registry since 2014 · sole proprietor
Practice
- Address
- 35575 Detroit Rd
Avon, OH 44011 - Phone
- (440) 937-9660
- Clinicians at this address
- 3
Additional practice sites
- 2133 Walter Rd, Westlake, OH
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-21
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