Individual
JENNIFER MIXDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
214 VIKING PLAZA RD, T-2526, CEDAR FALLS, IA 50613-6936
(319) 553-1121
(319) 553-1131
Mailing address
214 VIKING PLAZA RD, T-2526, CEDAR FALLS, IA 50613-6936
(319) 553-1121
(319) 553-1131
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21028
IA
Other
Enumeration date
07/08/2011
Last updated
07/08/2011
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