Individual
KATI ANN MITCHELLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1687 SANDBAR CIR, WACONIA, MN 55387-1052
(952) 484-3592
Mailing address
1687 SANDBAR CIR, WACONIA, MN 55387-1052
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R-225070-6
MN
Other
Enumeration date
12/12/2016
Last updated
12/12/2016
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