DETRESE DENESE MIXON

JACKSONVILLE, FL
NPI1891964243
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
(Licence: FL  CNA 112950)
Enumeration Date2008-02-29
Last Update Date2008-02-29
Business Address
Mrs. DETRESE DENESE MIXON cna,cma
1936 MEHARRY AVE
JACKSONVILLE, FL 32209-2622
Phone number: 904-766-5815
Mailing Address
Mrs. DETRESE DENESE MIXON cna,cma
1936 MEHARRY AVE
JACKSONVILLE, FL 32209-2622
Phone number: 904-766-5815
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