Individual
DORIS MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
1322 BUCHANAN ST, RACINE, WI 53402-5014
(262) 995-8909
Mailing address
1322 BUCHANAN ST, RACINE, WI 53402-5014
(262) 995-8909
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
318405
WI
Other
Enumeration date
10/21/2015
Last updated
10/21/2015
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