Russ, Jessica

Russ, Jessica is an individual health care provider with primary practice located at 10930 N Tatum Blvd Ste 103, Phoenix AZ 85028-6069. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Perfusionist, which is considered as her primary health care specialty. Russ, Jessica can be contacted via phone (602) 263-7600.

Contact Information

Primary practice address
10930 N Tatum Blvd Ste 103 Phoenix AZ 85028-6069
Phone: (602) 263-7600
Fax: (602) 212-0365
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Perfusionist 242T00000X LP030 Nevada

Profile Details

NPI number 1174929129
LBN Legal business name Russ, Jessica
Credentials Certified Clinical Perfusionist (CCP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2014
Last updated Nov 18th, 2014 - 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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