Individual
CHAROLETTE Y MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
3605 NE LOOP 286 STE 200, PARIS, TX 75460-5091
(903) 737-4337
Mailing address
1006 17TH ST NE, PARIS, TX 75460-3136
(903) 517-9330
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
151937
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
151937
LICENSED VOCATIONAL NURSE
TX
Enumeration date
03/14/2018
Last updated
03/14/2018
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