| Mitchell Ent | |
|
47 Gravelo Cir Middle River MD 21220-3628 | |
| (443) 791-2600 | |
| Not Available |
| Full Name | Mitchell Ent |
|---|---|
| Speciality | Counselor |
| Location | 47 Gravelo Cir, Middle River, Maryland |
| Authorized Official Name and Position | Aljumal Mitchell (MANAGING MEMBER) |
| Authorized Official Contact | 4437912600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mitchell Ent 47 Gravelo Cir Middle River MD 21220-3628 Ph: (443) 791-2600 | Mitchell Ent 47 Gravelo Cir Middle River MD 21220-3628 Ph: (443) 791-2600 |
| NPI Number | 1467280537 |
|---|---|
| Provider Enumeration Date | 07/22/2024 |
| Last Update Date | 07/22/2024 |
| Certification Date | 07/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467280537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (NU) | Primary |
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