Individual
CARLA GEAN MIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 ALLEN STREET, MARTINEZ, CA 94553
(925) 602-1750
Mailing address
25 ALLEN STREET, MARTINEZ, CA 94553
(925) 496-0728
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95368297
CA
Other
Enumeration date
05/29/2024
Last updated
06/21/2024
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