Individual
DYLAN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 S ORANGE AVE, NEWARK, NJ 07106-1300
(973) 761-9000
Mailing address
701 S ORANGE AVE, NEWARK, NJ 07106-1300
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR25465800
NJ
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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