Individual
URIAH ZACCHAEUS MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
613 S KNIK GOOSE BAY RD STE B, WASILLA, AK 99654-8090
(907) 631-3056
(866) 554-1366
Mailing address
PO BOX 874509, WASILLA, AK 99687-4509
(916) 952-1992
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
AK
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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