KELLY MIXON

FLORENCE, SC
NPI1912304692
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163WS0200X Registered Nurse, School
(Licence: SC  78085)
Enumeration Date2014-11-25
Last Update Date2014-11-25
Business Address
Mrs. KELLY MIXON RN
1119 N IRBY ST
FLORENCE, SC 29501-2621
Phone number: 843-664-8162
Mailing Address
Mrs. KELLY MIXON RN
1119 N IRBY ST
FLORENCE, SC 29501-2621
Phone number: 843-664-8162