Search › California › 364SH1100X
Diana Russell, H.H.P
NPI 1457674095 · on the registry since 2010 · sole proprietor
Practice
- Address
- 7773 University Ave
La Mesa, CA 91942 - Phone
- (619) 303-5702
- Fax
- (619) 825-8742
- Organisation at this address
- Vivifica Llc
Anthony B Hawkins Dc Inc
Village Rose Pharmacy, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 364SH1100X
364SH1100X
- Also registered as
- 225700000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-03-10
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