Clarence E Mitchell
Technician, Personal Care Attendant in Lester, WV. Individual provider (NPI-1).
NPI number1164036919
StatusActive
Last updated in NPPESAug 31, 2020
Details
- NPI
- 1164036919
- Entity type
- Individual (NPI-1)
- Name
- Clarence E Mitchell
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 31, 2020
- Certification date
- Aug 31, 2020
- Last updated
- Aug 31, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
201 Valley AveLester, WV 25865-7709
Phone 304-934-6118
Mailing address
Po Box 134Beckley, WV 25802-0134
Phone 304-934-6118
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All 11 Personal Care Attendant providers in Lester · All 26 providers in Lester
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