Individual
CLAUDETTE DENISE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
60 TARWOOD DR, ROCHESTER, NY 14606-5741
(585) 429-5073
Mailing address
60 TARWOOD DR, ROCHESTER, NY 14606-5741
(585) 429-5073
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
296574-1
NY
Other
Enumeration date
09/08/2009
Last updated
09/08/2009
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