Individual
SHAUNQUETTE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2541 W MAIN ST, LOUISVILLE, KY 40212-1530
(859) 444-2553
Mailing address
2014 SAINT LOUIS AVE, LOUISVILLE, KY 40210-1620
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
KY
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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