Individual
MISS RECITA CARNELLA MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHLEBOTOMIST
Contact information
Practice address
5419 LILIAN AVE, SAINT LOUIS, MO 63120-2322
(314) 728-2800
Mailing address
5419 LILIAN AVE, SAINT LOUIS, MO 63120-2322
(314) 728-2800
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
G9Z6F7T3
MO
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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