Individual
LOIS AMANDLA AWETU MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
15640 W MINNEZONA AVE, GOODYEAR, AZ 85395-6387
(770) 630-5949
Mailing address
15640 W MINNEZONA AVE, GOODYEAR, AZ 85395-6387
(770) 630-5949
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
244647
AZ
163WC0200X
Critical Care Medicine Registered Nurse
244647
AZ
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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