Individual
MARIAH MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
317 W MAIN ST, WEST MAIN STREET, PALMYRA, PA 17078-1505
(717) 304-0861
Mailing address
317 W MAIN ST, PALMYRA, PA 17078-1505
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
10066175
PA
Other
Enumeration date
01/01/2015
Last updated
01/01/2015
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