Individual
CANDRIA MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 N 2ND ST, SILSBEE, TX 77656-3908
(409) 926-9151
Mailing address
1100 N 2ND ST, SILSBEE, TX 77656-3908
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
333030
TX
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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