Reva Shane Mitchell

NPI #1063103752 in Columbus, Ohio

Provider Information

NPI Number
1063103752
Entity Type
Individual
Name
Reva Shane Mitchell
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Enumeration Date
May 15, 2023
Last Updated
May 15, 2023

Practice Location

Address
2810 FERN AVE
State
Ohio
ZIP Code
43211-1730
Phone
(614) 999-5152

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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