Deitra T Mixer
Deitra T Mixer is a Specialist in Cane Ridge, Tennessee. Practices as a sole proprietor. Registered with an NPI since 2010.
- In the registry since
- 2010
Practice location Address checks out
8221 Lenox Creekside Dr Unit 7Cane Ridge, TN 37013-4657
Phone: (615) 417-3321
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X |
|---|
Record details
| NPI number | 1053635755 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 24, 2010 |
| Last updated in NPPES | March 24, 2010 |
| Mailing address | 8221 Lenox Creekside Dr, Unit 7, Cane Ridge, TN 37013-4656 |