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Tianna Russell
NPI 1891152401 · on the registry since 2016 · sole proprietor
Practice
- Address
- 9077 N Fowler Ave
Clovis, CA 93619 - Phone
- (559) 304-7573
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Also registered as
- 225X00000X
- Licence states on file
- CA, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-01-27
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 California