Individual
MRS. DELVENIA RENEE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4515 N PEARL ST APT 2, JACKSONVILLE, FL 32206
(904) 365-0799
Mailing address
4515 N PEARL ST APT 2, JACKSONVILLE, FL 32206
(904) 365-0799
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
693492796
FL
174400000X
Specialist
693492797
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
693492796
—
FL
05
—
693492797
—
FL
Enumeration date
11/10/2008
Last updated
11/10/2008
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