Individual
MS. TASHA MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
655 KILLINGLY ST UNIT 1, JOHNSTON, RI 02919-4059
(401) 541-1381
Mailing address
PO BOX 91075, JOHNSTON, RI 02919-0852
(401) 541-1381
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
348463-01
NY
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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