Individual
MR. JAMES LEE MITCHENER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
5770 RIVERSIDE DRIVE, BUILDING 601, 752 MEDICAL SQUADRON, MARCH ARB, CA 92518
(951) 655-5167
Mailing address
37568 RIVER OATS LN, MURRIETA, CA 92563-3571
(310) 562-7734
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
809401
CA
Other
Enumeration date
08/12/2017
Last updated
08/12/2017
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