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Renita Yvette Russell
Rehabilitation Practitioner in Lancaster, California
NPI 1164680930

Renita Yvette Russell is a Rehabilitation Practitioner based in Palmdale, CA. Renita Yvette Russell practices in Lancaster, CA. The NPI Number for Renita Yvette Russell is 1164680930 and holds a License No. (California).

The current practice location address for Renita Yvette Russell is 921 W Avenue J, Lancaster, CA and can be reached out via phone at 661-949-0131.

Location: 921 W Avenue J, Lancaster, CA, 93551-5627
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164680930
Provider Name
Renita Yvette Russell
Credential
Provider Entity Type
Individual
Gender
Female
Address
921 W Avenue J, Lancaster, CA, 93551-5627
Phone Number
661-949-0131
Fax Number
Provider Enumeration Date
05/29/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00007473 05 CA
institution
Provider Business Practice Location Address Details
Address
921 W Avenue J
City
Lancaster
State
California
Zip
93534-3443
Phone Number
661-949-0131
Fax Number
person
Provider Business Mailing Address Details
Address
921 W Avenue J
City
Lancaster
State
California
Zip
93534-3443
Phone Number
661-949-0131
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
()
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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