Winters, Russell

Winters, Russell is an individual health care provider with primary practice located at 1212 N California St , Stockton CA 95202-1552. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Nursing Service Related Providers / Day Training/Habilitation Specialist. Nursing Service Related Providers / Day Training/Habilitation Specialist is his primary health care specialty. Winters, Russell can be contacted via phone (209) 468-8862.

Contact Information

Primary practice address
1212 N California St Stockton CA 95202-1552
Phone: (209) 468-8862
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X

Profile Details

NPI number 1376958819
LBN Legal business name Winters, Russell
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2014
Last updated Mar 21st, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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