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Contact Information

JAMES L MITCHENER III, RN
5770 RIVERSIDE DRIVE, BUILDING 601
752 MEDICAL SQUADRON
MARCH AIR RESERVE BASE, CA92518
 Phone: 951-655-5167
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for JAMES L MITCHENER III · (Male)

NPI Number 1275058026
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 08/12/2017
Last updated 08/12/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 809401
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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