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Shelby Russell
NPI 1356914345 · on the registry since 2021
Practice
- Address
- 1900 E Los Angeles Ave # 100
Simi Valley, CA 93065 - Phone
- (805) 537-0620
- Clinicians at this address
- 15
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-07-19
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