Individual
MRS. LAKITA H MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 EASTMARK DR APT 101, COLLEGE STATION, TX 77840-4077
(979) 473-9991
(866) 250-4077
Mailing address
2301 EASTMARK DR APT 101, COLLEGE STATION, TX 77840-4077
(979) 473-9991
(866) 250-4077
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
18618120
TX
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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