Theresa Joanne Russell is a Specialist based in Rancho Cordova, CA. Theresa Joanne Russell practices in Pollock Pines, CA and has the professional credentials of CADC-11. The NPI Number for Theresa Joanne Russell is 1255465530 and holds a License No. A8463203 (California).
The current practice location address for Theresa Joanne Russell is 5494 Pony Express Trail, Pollock Pines, CA and can be reached out via phone at 530-664-3758 and via fax at 530-644-3782.
Identifier | Type | State | Issuer |
---|---|---|---|
A8463203 | 01 | CA | CADC-11 |
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