Search › Oklahoma › 183500000X
Chandra Russell
NPI 1932700424 · on the registry since 2020 · sole proprietor
Practice
- Address
- 3116 S Garnett Rd
Tulsa, OK 74146 - Phone
- (918) 622-7923
- Organisation at this address
- Wal-Mart Stores East Lp
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- PW
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-11-03
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 Oklahoma