Individual
MARSHAWN MITCHELL SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
23605 W BOWKER ST, BUCKEYE, AZ 85326-7217
(757) 763-0754
Mailing address
23605 W BOWKER ST, BUCKEYE, AZ 85326-7217
(757) 763-0754
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/24/2014
Last updated
03/24/2014
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