Individual
BRANDI MARIE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PPO
Contact information
Practice address
950 W D ST, ONTARIO, CA 91762-3026
(909) 459-2500
Mailing address
6397 VERDUGO AVE, CHINO, CA 91710-3746
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
220135442
CA
Other
Enumeration date
09/06/2024
Last updated
09/13/2024
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