Individual
JAMIE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5050 MADISON RD, CINCINNATI, OH 45227-1491
(513) 272-2800
Mailing address
6435 GRACELAND AVE, CINCINNATI, OH 45237-4405
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L125456-SUPW
OH
174400000X
Specialist
—
—
Other
Enumeration date
02/15/2023
Last updated
02/15/2023
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