Individual
MRS. CARRIE LOEL MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HEALTH COACH
Contact information
Practice address
101 THE CITY DR S BLDG 53, ORANGE, CA 92868-3298
(714) 456-7514
(714) 456-2842
Mailing address
101 THE CITY DR S BLDG 53, ORANGE, CA 92868-3298
(714) 456-7514
(714) 456-2842
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689608150
—
CA
Enumeration date
04/07/2021
Last updated
04/07/2021
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