Individual
BRANDIE A MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1140 W 500 S, VERNAL, UT 84078-2914
(435) 789-6300
Mailing address
1140 W 500 S, PO BOX 1908, VERNAL, UT 84078-2914
(435) 789-6300
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
329882-3101
UT
Other
Enumeration date
02/05/2009
Last updated
02/05/2009
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