Individual
JESYKA LEE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7334 HYATT ST, SAN DIEGO, CA 92111-6104
(619) 410-3696
Mailing address
7334 HYATT ST, SAN DIEGO, CA 92111-6104
(619) 410-3696
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8529
CA
Other
Enumeration date
02/25/2009
Last updated
02/25/2009
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