Individual
BRANDON MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3737 MARTIN LUTHER KING JR BLVD STE 604, LYNWOOD, CA 90262-3518
(562) 333-3700
Mailing address
11158 LINDEN ST, LYNWOOD, CA 90262-2919
(424) 205-0329
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
97930
CA
225200000X
Physical Therapy Assistant
Primary
52689
CA
Other
Enumeration date
10/05/2023
Last updated
10/08/2023
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