Individual
MS. TIFFANY LIN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
9250 MANSFIELD RD, SHREVEPORT, LA 71118-3125
(318) 686-6311
Mailing address
8891 SUGARLAND DR APT 18203, SHREVEPORT, LA 71115-2847
(504) 610-7140
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
023692
LA
Other
Enumeration date
12/13/2020
Last updated
12/13/2020
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