Individual
TASHA MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2261 WHITE ROCK LN, LITTLE ELM, TX 75068-5891
(903) 239-1407
Mailing address
2261 WHITE ROCK LN, LITTLE ELM, TX 75068-5891
(903) 239-1407
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
195003
TX
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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