Most Relevant Information
Provider Data
| NPI Number: | 1003653361 |
| Provider Name: | DONTE RUSSO |
| Entity Type: | Individual |
| Taxonomy Code: | 374U00000X |
| Specialty: | Home Health Aide |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/12/2024 |
| Last Updated: | 07/12/2024 |
Provider Practice Location
1600 HILL AVE APT 142
BLUEFIELD
WV
247012199
Practice Location Phone/Fax
| Phone: | 3049603445 |
| Fax: |
Provider Mailing Location
1600 HILL AVE APT 142
BLUEFIELD
WV
247012199
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |