Marshawn Mitchell SR.

NPI #1104243500 in Buckeye, Arizona

Provider Information

NPI Number
1104243500
Entity Type
Individual
Name
Marshawn Mitchell SR.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Clinic/Center
Enumeration Date
Mar 24, 2014
Last Updated
Mar 24, 2014

Practice Location

Address
23605 W BOWKER ST
State
Arizona
ZIP Code
85326-7217
Phone
(757) 763-0754

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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