Individual
MELVIN DOUGLAS MITCHELL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
12984 HESPERIA RD, VICTORVILLE, CA 92395-5819
(760) 245-4116
Mailing address
12984 HESPERIA RD., SUITTE 101, VICTORVILLE, CA 92395
(760) 245-4116
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9355575
FL
Other
Enumeration date
12/10/2016
Last updated
07/21/2022
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