Individual
MRS. MELISSA MAE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 1ST ST S, WINTER HAVEN, FL 33880-3904
(863) 294-7056
Mailing address
462 HEATHER CT, BARTOW, FL 33830-8568
(863) 701-6619
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA167752
FL
Other
Enumeration date
06/21/2010
Last updated
06/21/2010
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