Individual
DEANTHONY MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1074 S CLINTON ST, SYRACUSE, NY 13202-3409
(315) 450-8443
Mailing address
1074 S CLINTON ST, SYRACUSE, NY 13202-3409
(315) 450-8443
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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