Individual
MUKIA MYRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
630 CORAL GLEN LOOP APT 101, ALTAMONTE SPRINGS, FL 32714-1791
(407) 765-8966
Mailing address
2431 ALOMA AVE STE 255, WINTER PARK, FL 32792-2541
(407) 765-8966
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/29/2020
Last updated
05/29/2020
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