CECILIA MIX

Technician - Attendant Care Provider

Active Individual
NPI: 1972151231

Practice Address

11911 US HIGHWAY 34
Grand Lake, CO 80447

Phone: (209) 602-3623

Specialties

Specialty Code Primary License
Technician - Attendant Care Provider 3747A0650X Yes -

Frequently Asked Questions

NPI 1972151231 is the National Provider Identifier for CECILIA MIX, a Technician - Attendant Care Provider provider located in Grand Lake, CO. This NPI was enumerated on August 29, 2019.
CECILIA MIX practices at 11911 US HIGHWAY 34, Grand Lake, CO 80447.

Quick Facts

NPI
1972151231
Type
Individual
Enumerated
Aug 29, 2019
Last Updated
Aug 29, 2019

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