Individual
MS. ESOTARYA MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, MAT, LAT
Contact information
Practice address
101 PORT RD, PORT ISABEL, TX 78578-2404
(956) 943-0111
Mailing address
101 PORT RD, PORT ISABEL, TX 78578-2404
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT3949
TX
Other
Enumeration date
03/23/2009
Last updated
02/04/2013
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