Mr Russell Deane Black, LVN | |
2101 Alexian Dr, San Jose, CA 95116-1901 | |
(408) 272-6510 | |
Not Available |
Full Name | Mr Russell Deane Black |
---|---|
Gender | Male |
Speciality | Licensed Vocational Nurse |
Location | 2101 Alexian Dr, San Jose, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407978901 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164X00000X | Licensed Vocational Nurse | VN76812 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Russell Deane Black, LVN 5361 Highway 9, Felton, CA 95018-9603 Ph: (831) 335-9208 | Mr Russell Deane Black, LVN 2101 Alexian Dr, San Jose, CA 95116-1901 Ph: (408) 272-6510 |
Jennifer Balgos Santander, Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 2001 The Alameda, San Jose, CA 95126 Phone: 408-261-7777 Fax: 408-259-2273 | |
Gemma Berdin, Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 210 N 4th St, Suite 100, San Jose, CA 95112 Phone: 408-295-5288 Fax: 408-292-1029 | |
Ms. Pamela Ortiz, LVN Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 2101 Alexian Dr, San Jose, CA 95116 Phone: 408-272-6510 Fax: 408-272-6540 | |
Khaleelah Dawn Coates, Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 425 E Santa Clara St, San Jose, CA 95113 Phone: 408-343-9442 | |
Julius Llavore, LVN Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 101 Jose Figueres Ave, San Jose, CA 95116 Phone: 408-347-3120 Fax: 408-347-3121 | |
Mrs. Janis Ramirez Rositas, LVN Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 2001 The Alameda, San Jose, CA 95126 Phone: 408-261-7777 | |
Tamra Ellen St John, LVN Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 171 Balboa Ave, San Jose, CA 95116 Phone: 419-260-3262 |