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Individual

TANASHA NICOLE MITCHELL I

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
60 W WINONA AVE APT F2, NORWOOD, PA 19074-1432
(267) 810-8603
Mailing address
60 W WINONA AVE, F2, NORWOOD, PA 19074
(267) 810-8603

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
320588
PA

Other

Enumeration date
06/01/2026
Last updated
06/01/2026
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