Individual
JAYCEE C MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
867 S 800 W, PLEASANT GROVE, UT 84062-4505
(801) 785-9019
Mailing address
867 S 800 W, PLEASANT GROVE, UT 84062-4505
(801) 785-9019
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
UT011304201619
UT
Other
Enumeration date
12/02/2022
Last updated
12/02/2022
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