Individual
MS. FAITH IRENE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRANIAL PROSTHESIS
Contact information
Practice address
2511 HERMOSA AVE, BALTIMORE, MD 21214-2540
(410) 863-8893
Mailing address
6619 RITCHIE HWY, GLEN BURNIE, MD 21061-6401
(410) 863-8893
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
51005
MD
1744P3200X
Prosthetics Case Management
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Other
Enumeration date
09/25/2008
Last updated
09/25/2008
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