Individual
MS. KIMBERLY MIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10151 DEERWOOD PARK BLVD STE 250, JACKSONVILLE, FL 32256-0566
(904) 533-4783
Mailing address
8450 GATE PKWY W UNIT 1330, JACKSONVILLE, FL 32216-1072
(904) 533-4783
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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