Individual
CYNTHIA DIANE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
625 W HUGHS ST, BOLIVAR, MO 65613-2819
(314) 743-9556
Mailing address
625 W HUGHS ST, BOLIVAR, MO 65613-2819
(314) 743-9556
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2006019377
MO
Other
Enumeration date
06/06/2018
Last updated
06/06/2018
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