Individual
MITCHELL ANGELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
469 ORLO LN, YOUNGSTOWN, OH 44512-1727
(330) 406-2273
Mailing address
PO BOX 5582, POLAND, OH 44514-0582
(330) 406-2273
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
505495
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0100359
—
OH
Enumeration date
07/15/2014
Last updated
07/15/2014
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