Blaikley Mitchell
Technician in Winston Salem, NC. Individual provider (NPI-1).
NPI number1942071071
StatusActive
Last updated in NPPESJan 9, 2024
Details
- NPI
- 1942071071
- Entity type
- Individual (NPI-1)
- Name
- Blaikley Mitchell
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 9, 2024
- Certification date
- Jan 9, 2024
- Last updated
- Jan 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374700000X | Technician | – | – | Yes |
Practice location
720 Coliseum Dr Ste 92Winston Salem, NC 27106-5357
Phone 888-329-4535
Mailing address
720 Coliseum Dr Ste 92Winston Salem, NC 27106-5357
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