Cheressa Lisette Mix, PA-C
NPI #1104844927 in Williamsport, Pennsylvania
Provider Information
- NPI Number
- 1104844927
- Entity Type
- Individual
- Name
- Cheressa Lisette Mix, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jul 18, 2006
- Last Updated
- Jan 18, 2016
Practice Location
- Address
- 1205 RIVER AVE
- Address 2
- 2ND FLOOR
- City
- Williamsport
- State
- Pennsylvania
- ZIP Code
- 17701-3724
- Phone
- (570) 326-4118
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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