SearchPennsylvania103K00000X

Deirdre Camacho-Russell, MSP, LBS

NPI 1760894752 · on the registry since 2014

Practice

Address
1329 N 56th St
Philadelphia, PA 19131
Phone
(215) 251-9139
Clinicians at this address
2

Registry record

Primary taxonomy
103K00000X
103K00000X
Also registered as
101Y00000X
101YM0800X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-11-07

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 Pennsylvania