Individual
ELAINE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 SAINT JOHN DR, KENNER, LA 70065-1674
(504) 607-0536
Mailing address
408 FAIRWAY DR, LA PLACE, LA 70068-2002
(504) 607-0536
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8241
LA
Other
Enumeration date
12/13/2016
Last updated
09/21/2020
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