MS. Carol S Shively Mizes, MT-BC, NMT FELLOW
NPI #1639449903 in North Royalton, Ohio
Provider Information
- NPI Number
- 1639449903
- Entity Type
- Individual
- Name
- MS. Carol S Shively Mizes, MT-BC, NMT FELLOW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community Health Worker
- Credential
- MT-BC, NMT FELLOW
- Enumeration Date
- Jan 4, 2012
- Last Updated
- Jan 4, 2012
Practice Location
- Address
- 14924 ROYAL RIDGE LN
- City
- North Royalton
- State
- Ohio
- ZIP Code
- 44133-4864
- Phone
- (440) 749-1864
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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