SearchCalifornia1041C0700X

Deann Russon

NPI 1528248796 · on the registry since 2007 · sole proprietor

Practice

Address
265 San Jacinto River Rd Ste 107
Lake Elsinore, CA 92530
Phone
(951) 674-9243
Organisation at this address
Victor Community Support Services, Inc.
Victor Community Support Services, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
84

Additional practice sites

  • 27710 Jefferson Ave, Temecula, CA

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
104100000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-10-28

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