Individual
KATRINA MIXSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4801 SOUTHWICK DR STE 300, MATTESON, IL 60443-2279
(312) 772-6327
Mailing address
4801 SOUTHWICK DR STE 300, MATTESON, IL 60443-2279
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/25/2020
Last updated
03/25/2020
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