Individual
JASMINE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1545 CROSSWAYS BLVD STE 250, CHESAPEAKE, VA 23320-0218
(757) 576-2579
Mailing address
3104 PETRE RD APT 201, CHESAPEAKE, VA 23325-2648
(757) 576-2579
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
4561
VA
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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