SHANTAVIA MITCHELL

FAIRBANKS, AK
NPI1104717453
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2025-07-14
Last Update Date2025-07-14
Business Address
SHANTAVIA MITCHELL
209 FORTY MILE AVE
FAIRBANKS, AK 99701-3110
Phone number: 907-456-6445
Mailing Address
SHANTAVIA MITCHELL
209 FORTY MILE AVE
FAIRBANKS, AK 99701-3110
Phone number: 907-456-6445