Individual
DEMETRIA MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1204 OVERMAN CIR APT C, ELIZABETH CITY, NC 27909-4675
(252) 455-6818
Mailing address
1204 OVERMAN CIR APT C, ELIZABETH CITY, NC 27909-4675
(252) 455-6818
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000036344018
—
NC
Enumeration date
09/05/2021
Last updated
09/05/2021
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