Individual
MARK MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1108 MADISON PLZ STE 202, CHESAPEAKE, VA 23320-5166
(757) 512-5565
(757) 644-5337
Mailing address
1108 MADISON PLZ STE 202, CHESAPEAKE, VA 23320-5166
(757) 512-5565
(757) 644-5337
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
1510097
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
463289095
—
VA
Enumeration date
06/05/2015
Last updated
06/05/2015
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