Individual
INDIA B MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DTR, NDTR
Contact information
Practice address
37 GRAHAM DR, ATHENS, OH 45701-1477
(740) 818-1499
Mailing address
37 GRAHAM DR, ATHENS, OH 45701-1477
(740) 818-1499
Taxonomy
Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
—
OH
Other
Enumeration date
04/19/2020
Last updated
04/19/2020
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