| NPI | 1710464896 |
|---|---|
| Professional Name | JUSTINE MARTIN MITCHELL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 3156351) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 777798) |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2023-05-11 |