NPI 1578069209
Lacendia Mitchell
Practice location
- Address
- 11036 Lydia Estates Dr W, Jacksonville, FL 32218-6937
- Phone
- (904) 305-1608
Registered specialties
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
Registry record
- NPI
- 1578069209
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 2 Apr 2018
- Record last updated
- 2 Apr 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.