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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 18 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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