Individual
AUDREY SMITH MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
408 W MAIN ST, WHITESBORO, TX 76273-1641
(903) 816-3657
Mailing address
10811 SANDALWOOD DR, DALLAS, TX 75228-2410
(254) 366-2300
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86010048
TX
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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