Individual provider · Type 1 NPI

Mallory Jane Mitchell, DO

Student in an Organized Health Care Education/Training Program · Modesto, CA

NPI number 1235636440 Active

Practice location

1405 Rockhaven Dr
Modesto, CA 95356-9682

Call (209) 380-1574 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1235636440

Mallory Jane Mitchell, DO's National Provider Identifier is 1235636440, issued on Apr 12, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Modesto, CA. The record was last updated on Dec 20, 2021.