Individual
ANAIS MIXSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4438 YORKTOWN PL, MAYS LANDING, NJ 08330
(732) 673-9907
Mailing address
4438 YORKTOWN PL, MAYS LANDING, NJ 08330-2703
(732) 673-9907
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00151000
NJ
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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