Russell, Diana Marie

Russell, Diana Marie is an sole proprietor health care provider with primary practice located at 7773 University Ave , La Mesa CA 91942-4950. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Physician Assistants & Advanced Practice Nursing Providers / Holistic. Physician Assistants & Advanced Practice Nursing Providers / Holistic is her primary health care specialty. Russell, Diana Marie can be contacted via phone (619) 303-5702.

Contact Information

Primary practice address
7773 University Ave La Mesa CA 91942-4950
Phone: (619) 303-5702
Fax: (619) 825-8742
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 385759-00 California
Physician Assistants & Advanced Practice Nursing Providers / Holistic 364SH1100X 385759-00 California

Profile Details

NPI number 1457674095
LBN Legal business name Russell, Diana Marie
Credentials H.H.P
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 10th, 2010
Last updated Mar 10th, 2010 - about 15 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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