Individual
IRVING L MIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPT
Contact information
Practice address
812 PENCADER DR UNIT B, NEWARK, DE 19702-3365
(302) 533-5616
Mailing address
812 PENCADER DR UNIT B, NEWARK, DE 19702-3365
(302) 533-5616
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1818500
—
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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