Individual
MICHELLE LERAE MIXON-CUMMINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5512 MORGAN ST, MAPLE HEIGHTS, OH 44137-3316
(440) 789-3286
Mailing address
5512 MORGAN ST, MAPLE HEIGHTS, OH 44137-3316
(440) 789-3286
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
04/21/2023
Last updated
04/24/2023
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