Aretha Mizell

NPI #1407491467 in Douglas, Georgia

Provider Information

NPI Number: 1407491467
Entity Type: Individual
Name: Aretha Mizell
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: Nov 14, 2019
Last Updated: Nov 14, 2019

Practice Location

Address: 925 KAMERA RD
City: Douglas
State: Georgia
ZIP Code: 31535-4345
Phone: (912) 381-8313

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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