Individual
IJAUH MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25881 MAPLE DR, TAYLOR, MI 48180-9313
(313) 898-4455
(313) 406-6149
Mailing address
18169 PINE W BLDG 34, BROWNSTOWN, MI 48193-8316
(734) 629-3495
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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