Individual
ANDREA ANDERSON MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3533 OLEANDER ST, JACKSONVILLE, FL 32254-1732
(904) 808-5634
Mailing address
6157 CEDAR HILLS BLVD, JACKSONVILLE, FL 32210-5177
(904) 808-5634
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
217402
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83-3766776
—
FL
Enumeration date
09/12/2023
Last updated
09/12/2023
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