Search › Arizona › 104100000X
Fredreaka Russell
NPI 1649452178 · on the registry since 2007 · sole proprietor
Practice
- Address
- 530 E Hunt Hwy
Suite 103-230
Queen Creek, AZ 85243 - Phone
- (602) 579-7880
- Organisation at this address
- James R. Chaffin Dba Johnson Ranch Dental
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Sex
- Female
- Record last updated
- 2007-11-27
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 Arizona