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Dr. Mallory Jane Mitchell, DO
Student in an Organized Health Care Education/Training Program in Modesto, California
NPI 1235636440

Mallory Jane Mitchell is a Student in an Organized Health Care Education/Training Program based in Modesto, CA. Mallory Jane Mitchell practices in Modesto, CA and has the professional credentials of DO. The NPI Number for Mallory Jane Mitchell is 1235636440 and holds a License No. (California).

The current practice location address for Mallory Jane Mitchell is 1405 Rockhaven Dr, Modesto, CA and can be reached out via phone at 209-380-1574.

Location: 1405 Rockhaven Dr, Modesto, CA, 95356-9682
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235636440
Provider Name
Mallory Jane Mitchell
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
1405 Rockhaven Dr, Modesto, CA, 95356-9682
Phone Number
209-380-1574
Fax Number
Provider Enumeration Date
04/12/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1405 Rockhaven Dr
City
Modesto
State
California
Zip
95356-9682
Phone Number
209-380-1574
Fax Number
person
Provider Business Mailing Address Details
Address
1405 Rockhaven Dr
City
Modesto
State
California
Zip
95356-9682
Phone Number
209-380-1574
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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