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Jessica Russo
NPI 1598285595 · on the registry since 2017
Practice
- Address
- 8672 Cycladic Ct
Elk Grove, CA 95624 - Phone
- (916) 730-4994
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-21
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