Individual
BRANDI MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4001 N PARK AVE, INDIANAPOLIS, IN 46205-2740
(317) 407-3588
Mailing address
4001 N PARK AVE, INDIANAPOLIS, IN 46205-2740
(317) 407-3588
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
GL1800096
IN
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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