Individual
JANE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7618 GRAND ST, DEXTER, MI 48130-1356
(734) 730-2432
Mailing address
7618 GRAND ST, DEXTER, MI 48130-1356
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704148846
MI
Other
Enumeration date
04/03/2014
Last updated
04/03/2014
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