SearchNew Mexico183500000X

Susan Russell, RPH

NPI 1811000441 · on the registry since 2006 · sole proprietor

Practice

Address
I-40, Exit 102
San Fidel, NM 87049
Phone
(505) 552-5394
Fax
(505) 552-5464
Clinicians at this address
4

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

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 New Mexico