Individual
HEIDI MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3490 LEWISTON RD, WEST SACRAMENTO, CA 95691-5459
(831) 262-5244
Mailing address
4600 BROADWAY, SACRAMENTO, CA 95820-1527
(831) 262-5244
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
469790
CA
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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