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Latonya Michelle Russell, RN
Wound Care Registered Nurse in Gary, Indiana
NPI 1417727132

Latonya Michelle Russell is a Wound Care Registered Nurse based in Gary, IN and is specialized in Wound Care. Latonya Michelle Russell practices in Gary, IN and has the professional credentials of RN. The NPI Number for Latonya Michelle Russell is 1417727132 and holds a License No. 28273063A (Indiana).

The current practice location address for Latonya Michelle Russell is 1623 Carolina St, Gary, IN and can be reached out via phone at 219-771-0689.

Location: 1623 Carolina St, Gary, IN, 46407-2346
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417727132
Provider Name
Latonya Michelle Russell
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
1623 Carolina St, Gary, IN, 46407-2346
Phone Number
219-771-0689
Fax Number
Provider Enumeration Date
01/03/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1623 Carolina St
City
Gary
State
Indiana
Zip
46407-2346
Phone Number
219-771-0689
Fax Number
person
Provider Business Mailing Address Details
Address
1623 Carolina St
City
Gary
State
Indiana
Zip
46407-2346
Phone Number
219-771-0689
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Wound Care
Taxonomy
163WW0000X
License No.
28273063A (Indiana)
Definition
Definition to come...
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