Individual
D'ANDRA MIXON-WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7450 W 63RD ST, SUMMIT, IL 60501-1816
(708) 458-0757
Mailing address
1724 E 36TH AVE, DENVER, CO 80205-4033
(720) 327-0122
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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