Individual
BRANDI ANN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 EUREKA RD, ROSEVILLE, CA 95661-3027
(916) 474-7777
Mailing address
1600 EUREKA RD, ROSEVILLE, CA 95661-3027
(916) 821-5279
Taxonomy
Speciality
Code
Description
License number
State
2279P3900X
Neonatal/Pediatric Registered Respiratory Therapist
Primary
28095
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28095
CALIFORNIA RESOIRATORY CARE BOARD
CA
Enumeration date
12/07/2018
Last updated
12/07/2018
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