Mixon, Detrese Denese
Mixon, Detrese Denese is an sole proprietor health care provider with primary practice located at 1936 Meharry Ave , Jacksonville FL 32209-2622. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Mixon, Detrese Denese can be contacted via phone (904) 766-5815.Contact Information
Primary practice address
1936 Meharry Ave
Jacksonville FL 32209-2622
Phone: (904) 766-5815
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X | CNA 112950 | Florida |
Profile Details
| NPI number | 1891964243 |
|---|---|
| LBN Legal business name | Mixon, Detrese Denese |
| Credentials | CNA,CMA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 29th, 2008 |
| Last updated | Feb 29th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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