Individual
MONICA MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
739 17TH ST, NEWPORT NEWS, VA 23607-5709
(757) 358-4985
Mailing address
739 17TH ST, NEWPORT NEWS, VA 23607-5709
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002077686
VA
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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