Individual
JACKQUELINE DENISE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1905 APPLE ST STE 3, OCEANSIDE, CA 92054-4455
(760) 547-1280
Mailing address
1905 APPLE ST STE 3, OCEANSIDE, CA 92054-4455
(760) 547-1280
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
188106
CA
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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