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Individual

MIKELL DORTCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1306 ATHEY RD, MOBILE, AL 36608-5618
(251) 930-3615
Mailing address
312 SCHILLINGER RD S # 174, MOBILE, AL 36608-5033
(251) 721-6746

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
376J00000X
Homemaker
376K00000X
Nurse's Aide
P0255
AL
376K00000X
Nurse's Aide
Primary

Other

Enumeration date
03/06/2023
Last updated
03/06/2023
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