Individual
MR. ANIL MITRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
720 WOOD ST, EUREKA, CA 95501-4413
(707) 268-2990
Mailing address
4510 VALLEY WEST BLVD APT G, ARCATA, CA 95521-7434
(707) 825-0658
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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