Individual
MIZELL LIGON MAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
1245 PALM BAY RD, U 104, PALM BAY, FL 32905-7620
(727) 953-2226
(321) 729-4347
Mailing address
1245 PALM BAY RD, U 104, PALM BAY, FL 32905-7620
(727) 953-2226
(321) 729-4347
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA39448
FL
Other
Enumeration date
08/05/2015
Last updated
08/05/2015
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