Russell, Aqueelah

Russell, Aqueelah is an individual health care provider with primary practice located at 855 N. Catalina Ave , Pasadena CA 91104. She recently has only one registered license in Other Service Providers / Lactation Consultant, Non-RN, which is considered as her primary health care specialty. Russell, Aqueelah can be contacted via phone (818) 720-3693.

Contact Information

Primary practice address
855 N. Catalina Ave Pasadena CA 91104
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Lactation Consultant, Non-RN 174N00000X

Profile Details

NPI number 1699257055
LBN Legal business name Russell, Aqueelah
Credentials IBCLC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2018
Last updated Sep 2nd, 2018 - about 6 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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