Individual
KAITLYN MIZELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1020 JOHN SMALL AVE, WASHINGTON, NC 27889-3759
(252) 946-9631
Mailing address
1020 JOHN SMALL AVE, WASHINGTON, NC 27889-3759
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
32517
NC
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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