Individual provider · Type 1 NPI

Renita Yvette Russell

Rehabilitation Practitioner · Lancaster, CA

NPI number 1164680930 Active

Practice location

921 W Avenue J, Suite C
Lancaster, CA 93534-3443

Call (661) 949-0131 Map

Mailing address

40944 Knoll Dr
Palmdale, CA 93551-5627

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1164680930

Renita Yvette Russell's National Provider Identifier is 1164680930, issued on May 29, 2008. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Lancaster, CA. The record was last updated on Jun 5, 2008.