Individual
NICOLE LOUISE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
5631 W GENESEE ST, CAMILLUS, NY 13031-1324
(518) 651-6191
Mailing address
5631 W GENESEE ST, CAMILLUS, NY 13031-1324
(518) 651-6191
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X011695-1
NY
Other
Enumeration date
09/26/2008
Last updated
04/27/2009
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