Individual
MARYLEA MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1440 E EMPIRE AVE, BENTON HARBOR, MI 49022-2020
(269) 487-9820
Mailing address
1440 E EMPIRE AVE, BENTON HARBOR, MI 49022-2020
(269) 487-9820
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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