Individual
MR. MITCHELL DON BRIMAGE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
661 BAY LAUREL PLACE, SUITE 3B, AVILA BEACH, CA 93424
(805) 459-8232
Mailing address
1260 ELLA ST UNIT 8, SAN LUIS OBISPO, CA 93401-4147
(805) 441-3611
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95019766
CA
Other
Enumeration date
12/04/2006
Last updated
06/06/2022
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