Russell Duale, LPN Valid NPI

Individual provider · Licensed Practical Nurse · Fort Rucker, AL

NPI

1811393283

Type

Individual (Type 1)

Primary specialty

Licensed Practical Nurse

Specialty group

Nursing Service Providers

Taxonomy code

164W00000X

License number

2-063888 (AL)

Sex

Male

Sole proprietor

Yes

Enumerated

2014-11-13

Last updated

2014-11-24