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Mr. Russell Deane Black, LVN
Licensed Vocational Nurse in San Jose, California
NPI 1407978901

Russell Deane Black is a Licensed Vocational Nurse based in Felton, CA. Russell Deane Black practices in San Jose, CA and has the professional credentials of LVN. The NPI Number for Russell Deane Black is 1407978901 and holds a License No. VN76812 (California).

The current practice location address for Russell Deane Black is 2101 Alexian Dr, San Jose, CA and can be reached out via phone at 408-272-6510. You can also correspond with Russell Deane Black through the mailing address at 5361 HIGHWAY 9, FELTON, CA - 95018-9603 (mailing address contact number: 831-335-9208).

Location: 2101 Alexian Dr, San Jose, CA, 95018-9603
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407978901
Provider Name
Russell Deane Black
Credential
LVN
Provider Entity Type
Individual
Gender
Male
Address
2101 Alexian Dr, San Jose, CA, 95018-9603
Phone Number
408-272-6510
Fax Number
Provider Enumeration Date
04/04/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2101 Alexian Dr
City
San Jose
State
California
Zip
95116-1901
Phone Number
408-272-6510
Fax Number
person
Provider Business Mailing Address Details
Address
2101 Alexian Dr
City
San Jose
State
California
Zip
95116-1901
Phone Number
408-272-6510
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Vocational Nurse
Speciality
-
Taxonomy
164X00000X
License No.
VN76812 (California)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
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