Search › Ohio › 374U00000X
Jaquon Mixon
NPI 1528707106 · on the registry since 2022 · sole proprietor
Practice
- Address
- 630 Ferndale Ave
Youngstown, OH 44511 - Phone
- (330) 716-6710
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Sex
- Male
- Record last updated
- 2022-06-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio