Individual
MRS. ELAINE MARY MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CERTIFIED HAIR LOSS
Contact information
Practice address
8818 LA MESA BLVD, LA MESA, CA 91942-5407
(619) 302-2404
(619) 262-6115
Mailing address
4931 OCEAN VIEW BLVD, SAN DIEGO, CA 92113
(619) 302-2404
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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