Individual
TAMARA MICHELLE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7 SEDERHOLM PATH, PALM COAST, FL 32164-5479
(386) 225-0208
Mailing address
7 SEDERHOLM PATH, PALM COAST, FL 32164-5479
(386) 225-0208
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5179703
FL
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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