Evangeline Russell, LVN

NPI 1992967962 · on the registry since 2008 · sole proprietor

Practice

Address: 3686 Pacific Ave
Riverside, CA 92509
Phone: (951) 801-2913
Organisation at this address: Pacific Manor Recovery Llc
Resurgence California, Llc
Anka Behavioral Health, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 164X00000X
164X00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2008-06-30

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