Individual
MADISON ROSE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1971 UNIVERSITY BLVD, LYNCHBURG, VA 24515-0002
(973) 803-0401
Mailing address
44 PORTER RD, WEST ORANGE, NJ 07052-2021
(973) 803-0401
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/12/2020
Last updated
03/12/2020
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