JAQUON ANDRE MIXON

YOUNGSTOWN, OH
NPI1528707106
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy374U00000X Home Health Aide
Enumeration Date2022-06-01
Last Update Date2022-06-01
Business Address
JAQUON ANDRE MIXON
630 FERNDALE AVE
YOUNGSTOWN, OH 44511-3210
Phone number: 330-716-6710
Mailing Address
JAQUON ANDRE MIXON
630 FERNDALE AVE
YOUNGSTOWN, OH 44511-3210
Phone number: 330-716-6710