MRS. DETRESE MIXON, CNA,CMA

Community Health Worker

Active Individual
NPI: 1891964243

Practice Address

1936 MEHARRY AVE
Jacksonville, FL 32209

Phone: (904) 766-5815

Specialties

Specialty Code Primary License
Community Health Worker 172V00000X Yes CNA 112950 (FL)

Frequently Asked Questions

NPI 1891964243 is the National Provider Identifier for MRS. DETRESE MIXON, CNA,CMA, a Community Health Worker provider located in Jacksonville, FL. This NPI was enumerated on February 29, 2008.
MRS. DETRESE MIXON, CNA,CMA practices at 1936 MEHARRY AVE, Jacksonville, FL 32209.

Quick Facts

NPI
1891964243
Type
Individual
Enumerated
Feb 29, 2008
Last Updated
Feb 29, 2008

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