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Individual

LAKISHA TERI MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2702 LAKEHURST AVE, DISTRICT HEIGHTS, MD 20747-3520
(301) 466-6407
Mailing address
2702 LAKEHURST AVE, DISTRICT HEIGHTS, MD 20747-3520
(301) 466-6407

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
M-324-488-789-336
MD

Other

Enumeration date
05/18/2012
Last updated
05/18/2012
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