Individual
TAYA MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1514 NORTHAMPTON DR, ROWLETT, TX 75089-7166
(214) 477-5004
Mailing address
1514 NORTHAMPTON DR, ROWLETT, TX 75089-7166
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
04/06/2022
Last updated
04/06/2022
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