Individual
SUSAN DIANE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
419 MORGANTOWN ST, KINGWOOD, WV 26537-1095
(304) 329-3565
Mailing address
419 MORGANTOWN ST, KINGWOOD, WV 26537-1095
(304) 329-3565
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
48912
WV
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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