person
Samuel Russo
Student in an Organized Health Care Education/Training Program in Grand Junction, Colorado
NPI 1538836796

Samuel Russo is a Student in an Organized Health Care Education/Training Program based in Grand Junction, CO. Samuel Russo practices in Grand Junction, CO. The NPI Number for Samuel Russo is 1538836796 and holds a License No. (Colorado).

The current practice location address for Samuel Russo is 2853 North Ave, Grand Junction, CO and can be reached out via phone at 970-256-9424.

Location: 2853 North Ave, Grand Junction, CO, 81501-5040
person
Provider Profile Details
NPI Number
1538836796
Provider Name
Samuel Russo
Credential
Provider Entity Type
Individual
Gender
Male
Address
2853 North Ave, Grand Junction, CO, 81501-5040
Phone Number
970-256-9424
Fax Number
Provider Enumeration Date
08/25/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2853 North Ave
City
State
Zip
81501-5040
Phone Number
970-256-9424
Fax Number
person
Provider Business Mailing Address Details
Address
2853 North Ave
City
State
Zip
81501-5040
Phone Number
970-256-9424
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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