STEVEN DWAYNE MIZE

SOUTH BOSTON, VA
NPI1538670013
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251E00000X Home Health
Enumeration Date2017-10-24
Last Update Date2017-10-24
Business Address
STEVEN DWAYNE MIZE
606 BROAD ST
SOUTH BOSTON, VA 24592-3200
Phone number: 434-575-5200
Mailing Address
STEVEN DWAYNE MIZE
PO BOX 776
SOUTH BOSTON, VA 24592-0776
Phone number: 434-575-5200