Individual
ANDREA JO MITTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 265-2633
Mailing address
801 W BUTTERFIELD DR, PEORIA, IL 61614-2815
(309) 265-2633
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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