Individual provider · Type 1 NPI

Pamela Russell

Student in an Organized Health Care Education/Training Program · Altadena, CA

NPI number 1972905081 Active

Practice location

754 Deodara Dr
Altadena, CA 91001-2310

Call (626) 398-0149 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1972905081

Pamela Russell's National Provider Identifier is 1972905081, issued on Sep 19, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Altadena, CA. The record was last updated on Sep 19, 2014.