Individual
MISS HAZEL LYNN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9655 LAS VEGAS BLVD S, APT. 275, LAS VEGAS, NV 89123-3386
(702) 677-2219
Mailing address
10624 S. EASTERN AVE, STE. A-134, HENDERSON, NV 89052
(702) 677-2219
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
125406938-0005
NV
Other
Enumeration date
07/12/2013
Last updated
07/12/2013
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