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Individual

DR. KATHRYN DAWN DAQUILA-MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD, ANP

Contact information

Practice address
1650 GRAND CONCOURSE, BRONX, NY 10457-7606
(718) 960-1052
Mailing address
90 S QUAKER HILL RD, PATTERSON, NY 12563-2314
(845) 559-4420

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
305617
NY

Other

Enumeration date
08/11/2020
Last updated
08/11/2020
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