Individual
ALISHA MITTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5896 WAGGONER CT, REX, GA 30273-5200
(470) 778-6519
Mailing address
5896 WAGGONER CT, REX, GA 30273-5200
(470) 778-6519
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/26/2022
Last updated
12/26/2022
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