Individual
TAKERA MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1077 SANFORDS WALK, TUCKER, GA 30084-1431
(561) 573-9393
Mailing address
1077 SANFORDS WALK, TUCKER, GA 30084-1431
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
03/15/2018
Last updated
03/15/2018
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