SearchLouisiana224Z00000X

Becky Russell

NPI 1295942068 · on the registry since 2007 · sole proprietor

Practice

Address
153 Brown Rd
Mangham, LA 71259
Phone
(318) 791-6169

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-05-21

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 Louisiana