Individual provider · Type 1 NPI

Theodoria Russ, STNA

Home Health Aide · Youngstown, OH

NPI number 1417467150 Active

About NPI 1417467150

Theodoria Russ, STNA's National Provider Identifier is 1417467150, issued on Oct 9, 2017. The primary taxonomy on file is Home Health Aide (374U00000X), and the practice location is in Youngstown, OH. The record was last updated on Oct 9, 2017.