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Search › California › 104100000X

Nicole Russo, ASW

NPI 1326528522 · on the registry since 2018

Practice

Address
2115 The Alameda
San Jose, CA 95126
Phone
(669) 213-0673
Fax
(408) 259-2273
Organisation at this address
Momentum For Health
Momentum For Health
Golden State Orthopedics & Spine
Inferred from a shared address, not stated in the registry.
Clinicians at this address
17

Registry record

Primary taxonomy
104100000X
104100000X
Also registered as
171M00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-10-05

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