Search › California › 103K00000X
Jason Russell, PHD,DRBA, MLS,MBA
NPI 1316735731 · on the registry since 2025 · sole proprietor
Practice
- Address
- 215 D Ave
Coronado, CA 92118 - Phone
- (212) 372-3167
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Sex
- Male
- Record last updated
- 2025-04-26
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