Individual
BOBBY MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.SC.
Contact information
Practice address
9228 VOLLMERHAUSEN RD, JESSUP, MD 20794-9518
(240) 422-2123
Mailing address
PO BOX 507, SAVAGE, MD 20763-0507
(240) 422-2123
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
10/18/2011
Last updated
10/18/2011
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