Chung, Russelle

Chung, Russelle is an individual health care provider with primary practice located at 850 E Foothill Blvd , Rialto CA 92376-5230. She recently has only one registered license in Nursing Service Providers / Licensed Psychiatric Technician, which is considered as her primary health care specialty. Chung, Russelle can be contacted via phone (909) 421-9470.

Contact Information

Primary practice address
850 E Foothill Blvd Rialto CA 92376-5230
Phone: (909) 421-9470
Fax: (909) 873-4461
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Psychiatric Technician 167G00000X PT33524 California

Profile Details

NPI number 1982025904
LBN Legal business name Chung, Russelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 17th, 2013
Last updated Dec 17th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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