Jaime Mitchell
NPI #1114502077 in Montgomery, New York
Provider Information
- NPI Number
- 1114502077
- Entity Type
- Individual
- Name
- Jaime Mitchell
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Mar 12, 2021
- Last Updated
- Mar 12, 2021
Practice Location
- Address
- 796 BULLVILLE RD
- City
- Montgomery
- State
- New York
- ZIP Code
- 12549-1827
- Phone
- (405) 650-7443
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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