Individual
MRS. TINA MARIE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
211 W MONROE ST, BANGOR, MI 49013-1330
(269) 427-7706
(269) 427-5752
Mailing address
65288 COUNTY ROAD 380, BANGOR, MI 49013-9420
(269) 427-7706
(269) 427-5752
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
08/13/2006
Last updated
07/08/2007
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