Russell, Ayanna Nicole

Russell, Ayanna Nicole is an individual health care provider with primary practice located at 3875 S Western Ave , Los Angeles CA 90062-1105. She recently has only one registered license in Nursing Service Providers / Licensed Vocational Nurse, which is considered as her primary health care specialty. Russell, Ayanna Nicole can be contacted via phone (323) 290-4356.

Contact Information

Primary practice address
3875 S Western Ave Los Angeles CA 90062-1105
Fax: (323) 293-3327
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Vocational Nurse 164X00000X VN167101 California

Profile Details

NPI number 1124167051
LBN Legal business name Russell, Ayanna Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Jul 8th, 2007 - about 17 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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