NPI 1023142155

Jennifer P Mixon

Practitioner Rehabilitation Practitioner Lynwood, CA

Practice location

Address: 2640 Industry Way, Lynwood, CA 90262-4000
Phone: (310) 639-5983
Fax: (310) 639-5870

Registered specialties

Rehabilitation Practitioner Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X

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Registry record

NPI: 1023142155
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Mar 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.