Individual
SYTRISS LASEAN MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1638 EAST LAKEVIEW LANE, CANTON, MI 48187
(734) 223-0520
(734) 345-4378
Mailing address
33006 7 MILE RD STE 412, LIVONIA, MI 48152-1358
(734) 223-0520
(734) 345-4378
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703118271
MI
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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