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Theodoria Russ, STNA

NPI 1417467150 · on the registry since 2017 · sole proprietor

Practice

Address
349 Cabot St
Youngstown, OH 44509
Phone
(330) 792-7629
Fax
(330) 782-7858

Registry record

Primary taxonomy
374U00000X
374U00000X
Also registered as
374U00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-10-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio