Individual
WENDY MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5508 PINETREE DR, FORT PIERCE, FL 34982-7452
(330) 600-4156
Mailing address
10225 FULTON RD, MARSHALLVILLE, OH 44645-9761
(330) 600-4156
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
122438
OH
Other
Enumeration date
02/28/2017
Last updated
12/07/2023
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