Individual
MR. JUSTIN CHAYNE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPHT
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
—
—
183700000X
Pharmacy Technician
Primary
32086
NC
Other
Enumeration date
11/09/2011
Last updated
12/14/2019
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