Search › Michigan › 1041C0700X
Shellisa Mitchell
NPI 1457181364 · on the registry since 2024 · sole proprietor
Practice
- Address
- 20071 Andover St
Detroit, MI 48203 - Phone
- (313) 915-8305
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-08-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan