Individual
MIKE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
TOHATCHI HEALTH CENTER 07 CHOOSHGAI DRIVE, TOHATCHI, NM 87325
(505) 733-8100
Mailing address
PO BOX 603, TOHATCHI, NM 87325-0603
(505) 413-3619
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
75957
NM
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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