Individual
SANDRA KAY MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
324 MULBERRY AVE W, WYNNE, AR 72396-2813
(807) 208-5444
Mailing address
324 MULBERRY AVE W, WYNNE, AR 72396-2813
(807) 208-5444
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166087783
—
AR
Enumeration date
04/25/2008
Last updated
04/25/2008
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