Russell Deon Varnado
Non-emergency Medical Transport (VAN) in Milwaukee, WI. Individual provider (NPI-1).
NPI number1255083408
StatusActive
Last updated in NPPESJan 19, 2022
Details
- NPI
- 1255083408
- Entity type
- Individual (NPI-1)
- Name
- Russell Deon Varnado
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 19, 2022
- Certification date
- Jan 19, 2022
- Last updated
- Jan 19, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 343900000X | Non-emergency Medical Transport (VAN) | – | – | Yes |
Practice location
2650 N 20th StMilwaukee, WI 53206-1501
Phone 414-502-5141
Mailing address
2650 N 20th StMilwaukee, WI 53206-1501
Phone 414-502-5141
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