Individual
MONSERATE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
VN207724
CA
261QM2800X
Methadone Clinic
Primary
37-07
CA
Other
Enumeration date
05/10/2007
Last updated
09/11/2025
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