Individual
AJA D'NEZ MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
618 BRIXHAM RD, COLUMBUS, OH 43204-1165
(614) 961-2602
Mailing address
618 BRIXHAM RD, COLUMBUS, OH 43204-1165
(614) 961-2602
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN112357
OH
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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