ANTHEA VYVIA MICKENS

YOUNGSTOWN, OH
NPI1497303168
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OH  304090)
Enumeration Date2019-08-27
Last Update Date2019-08-27
Business Address
ANTHEA VYVIA MICKENS
1878 SELMA AVE
YOUNGSTOWN, OH 44504-1302
Phone number: 330-774-7551
Mailing Address
ANTHEA VYVIA MICKENS
1878 SELMA AVE
YOUNGSTOWN, OH 44504-1302
Phone number: 330-774-7551
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