Jacob Allen Mitchell, CCP

NPI #1306630736 in La Jolla, California

Provider Information

NPI Number: 1306630736
Entity Type: Individual
Name: Jacob Allen Mitchell, CCP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Perfusionist
Credential: CCP
Enumeration Date: Apr 9, 2025
Last Updated: Apr 9, 2025

Practice Location

Address: 9888 GENESEE AVE
City: La Jolla
State: California
ZIP Code: 92037-1205
Phone: (858) 834-1798

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Perfusionist	242T00000X	Primary

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