Individual
MS. JHAQUISHA DENISE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
723 S LACLEDE STATION RD, SAINT LOUIS, MO 63119-4911
(314) 387-1370
Mailing address
723 S LACLEDE STATION RD, SAINT LOUIS, MO 63119-4911
(314) 387-1370
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2022022694
MO
Other
Enumeration date
12/20/2022
Last updated
12/20/2022
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