Individual
MS. SALATHIA SHAVON MIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1519 METROPOLITAN AVE APT 6G, BRONX, NY 10462-6121
(347) 256-0976
Mailing address
1519 METROPOLITAN AVE APT 6G, BRONX, NY 10462-6121
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/24/2019
Last updated
01/24/2019
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