National Provider Identifier Database

DIANA M RUSSELL, H.H.P – NPI #1457674095
Holistic


Contact Information

DIANA M RUSSELL, H.H.P
7773 UNIVERSITY AVE
LA MESA, CA91942-4950
Phone: 619-303-5702
Fax: 619-825-8742
Website:
Specialty Taxonomy Code
* Holistic 364SH1100X
Massage Therapist 225700000X

* Indicates primary specialty

NPI Profile & details for DIANA M RUSSELL

NPI Number 1457674095
Credentials H.H.P
Entity Individual
Enumeration date 03/10/2010
Last updated 03/10/2010 - About 16 years ago
Sole proprietor1 Yes
Identifiers
  • CA License #: 385759-00
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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