Individual
MRS. SANDRA RODRIGUEZ MITCHELL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NURSE
Contact information
Practice address
148 LAKE MANOR DR, KINGSLAND, GA 31548-6274
(912) 573-4220
Mailing address
148 LAKE MANOR DR, KINGSLAND, GA 31548-6274
(912) 573-4220
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
260444
NY
Other
Enumeration date
02/27/2006
Last updated
07/08/2007
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