Individual
MICHAELA MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5366 WINCHESTER RD, MEMPHIS, TN 38115-4565
(901) 550-5253
Mailing address
1799 AUTUMNDALE DR, CORDOVA, TN 38016-8599
(901) 550-5253
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
7724
TN
Other
Enumeration date
03/17/2020
Last updated
03/17/2020
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