Individual
DAIVA MARILYN MITCHELL
Active
Individual
DAIVA MARILYN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD477553
PA
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
34339
WV
Other
Enumeration date
05/14/2019
Last updated
10/04/2024
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