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Vanessa Ann Mitchell, LMT

Specialist in Ormond Beach, FL. Individual provider (NPI-1).

NPI number1023397643
StatusActive
Last updated in NPPESAug 13, 2011

Details

NPI
1023397643
Entity type
Individual (NPI-1)
Name
Vanessa Ann Mitchell
Credential
LMT
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 13, 2011
Last updated
Aug 13, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X SpecialistMA64397FLYes

Practice location

115 E Granada Blvd Ste 9&10
Ormond Beach, FL 32176-6680

Phone 386-641-0837

Mailing address

1290 Fernway Dr
Ormond Beach, FL 32174-6046

Phone 386-631-0837

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