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Individual

MS. TANISHA MITCHELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5457 TWIN KNOLLS ROAD, 3RD FLOOR, #170, COLUMBIA, MD 21045
(844) 433-8378
Mailing address
8607 WINTERGREEN CT UNIT 405, ODENTON, MD 21113-3855
(718) 570-4169

Taxonomy

Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary

Other

Enumeration date
06/24/2025
Last updated
06/24/2025
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