person
Ms. Dallas Gale Russo, RN
Psychiatric/Mental Health Registered Nurse in Madera, California
NPI 1578777629

Dallas Gale Russo is a Psychiatric/Mental Health Registered Nurse based in Madera, CA and is specialized in Psychiatric/Mental Health. Dallas Gale Russo practices in Madera, CA and has the professional credentials of RN. The NPI Number for Dallas Gale Russo is 1578777629 and holds a License No. 461890 (California).

The current practice location address for Dallas Gale Russo is 14277 Road 28, Madera, CA and can be reached out via phone at 559-673-3508 and via fax at 559-661-2818.

Location: 14277 Road 28, Madera, CA, 93638-5715
person
Provider Profile Details
NPI Number
1578777629
Provider Name
Dallas Gale Russo
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
14277 Road 28, Madera, CA, 93638-5715
Phone Number
559-673-3508
Fax Number
559-661-2818
Provider Enumeration Date
05/09/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
14277 Road 28
City
State
Zip
93638-5715
Phone Number
559-673-3508
Fax Number
559-661-2818
person
Provider Business Mailing Address Details
Address
14277 Road 28
City
State
Zip
93638-5715
Phone Number
559-673-3508
Fax Number
559-661-2818
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
461890 (California)
Definition
Definition to come...
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