Individual
VANESSA BREGUEZ MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1760 E PECOS RD STE 207, GILBERT, AZ 85295-3202
(480) 813-0944
Mailing address
1760 E PECOS RD STE 235, GILBERT, AZ 85295-3207
(480) 813-0944
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
6423
AZ
363AM0700X
Medical Physician Assistant
Primary
6423
AZ
Other
Enumeration date
09/30/2016
Last updated
10/02/2023
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