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Russell Havens
NPI 1659053288 · on the registry since 2023
Practice
- Address
- 851 Bowsprit Rd
Chula Vista, CA 91914 - Phone
- (213) 915-8277
- Clinicians at this address
- 31
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-08-03
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 California