Jane Mittan is a Military Health Care Provider based in Apo, . Jane Mittan practices in Apo, . The NPI Number for Jane Mittan is 1821399247 and holds a License No. OT 7564 (N/A).
The current practice location address for Jane Mittan is Unit 15244, Apo, and can be reached out via phone at 010-631-24018.
Location: Unit 15244, Apo, , 96205-5244
Provider Profile Details
NPI Number
1821399247
Provider Name
Jane Mittan
Credential
Provider Entity Type
Individual
Gender
Female
Address
Unit 15244, Apo, , 96205-5244
Phone Number
010-631-24018
Fax Number
Provider Enumeration Date
11/16/2010
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
Unit 15244
City
State
Zip
96205-5244
Phone Number
010-631-24018
Fax Number
Provider Business Mailing Address Details
Address
Unit 15244
City
State
Zip
96205-5244
Phone Number
010-631-24018
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
OT 7564 (California)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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