CHAQUARRA LASTAYSHA MITCHELL

JACKSONVILLE, TX
NPI1932923265
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  1179676)
Enumeration Date2024-11-13
Last Update Date2024-11-13
Business Address
CHAQUARRA LASTAYSHA MITCHELL
510 E COMMERCE ST
JACKSONVILLE, TX 75766-4910
Phone number: 903-535-9041
Mailing Address
CHAQUARRA LASTAYSHA MITCHELL
523 S FANNIN AVE
TYLER, TX 75702-8204
Phone number: 903-535-9041
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