Individual
JASMINE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1724 BIRCH RD, APT 203, KENOSHA, WI 53140-4537
(262) 748-7496
Mailing address
1724 BIRCH RD, APT 203, KENOSHA, WI 53140-4537
(262) 748-7496
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
294499
WI
Other
Enumeration date
01/28/2015
Last updated
01/28/2015
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