Individual
CANDISE RAQUEL MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
850 EAST WARDLOW ROAD, LONG BEACH, CA 90807
(562) 981-9392
Mailing address
850 E WARDLOW RD, LONG BEACH, CA 90807-4628
(562) 981-9392
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
07/25/2017
Last updated
07/21/2022
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