Individual
BROOK MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 RIVERSIDE CIR, ROANOKE, VA 24016-4950
(252) 515-4876
Mailing address
2809 DIPLOMAT DR, ROANOKE, VA 24019-3313
(252) 515-4876
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/25/2024
Last updated
04/25/2024
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