Individual
CHARMAINE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 E 53RD ST, BROOKLYN, NY 11203-4407
(347) 294-8560
Mailing address
333 E 53RD ST, BROOKLYN, NY 11203-4407
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
267991
NY
Other
Enumeration date
03/13/2018
Last updated
03/13/2018
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