Individual
TRACIE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9920 QUEENS LACE DR, NEOSHO, MO 64850-8389
(417) 499-2751
Mailing address
9920 QUEENS LACE DR, NEOSHO, MO 64850-8389
(417) 499-2751
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2001004731
MO
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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