Individual
MRS. ALTHEA MARIE MITCHEM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
642 W DEWEY AVE, YOUNGSTOWN, OH 44511-1708
(330) 783-9529
Mailing address
642 W DEWEY AVE, YOUNGSTOWN, OH 44511-1708
(330) 783-9529
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2596061
—
OH
Enumeration date
06/13/2006
Last updated
07/08/2007
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