FREDDIE LAREDIA MITCHELL

JACKSON, TN
NPI1972382505
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy335E00000X Prosthetic/Orthotic Supplier
Enumeration Date2023-09-25
Last Update Date2023-09-25
Business Address
FREDDIE LAREDIA MITCHELL
26 BRENTSHIRE SQ STE R
JACKSON, TN 38305-2265
Phone number: 731-343-5313
Mailing Address
FREDDIE LAREDIA MITCHELL
24 MAY DR
JACKSON, TN 38305-4643
Phone number: 731-343-5313
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