Search › California › 103K00000X
Susanne Russo
NPI 1780979096 · on the registry since 2011
Practice
- Address
- 2950 Mcdonald Ln
Corona, CA 92881 - Phone
- (951) 427-3273
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-06-14
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