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Individual

KEIYA MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
715 ALMOND ST UNIT F, CLERMONT, FL 34711-3121
(954) 415-5227
Mailing address
14422 HIDDEN CT, CLERMONT, FL 34711-5315
(954) 415-5227

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
238486
FL

Other

Enumeration date
08/11/2022
Last updated
08/24/2022
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