Individual
MICHELLE LYNNE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11181 FAIRLAWN DR, PARMA, OH 44130-1219
(121) 653-4315
Mailing address
11181 FAIRLAWN DR, PARMA, OH 44130-1219
(216) 534-3155
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
1825243
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1825243
—
OH
Enumeration date
12/18/2020
Last updated
12/18/2020
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