Individual
LESLY KUJAWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RTY200
Contact information
Practice address
1340 SE 4TH CT, DEERFIELD BEACH, FL 33441-4994
(954) 612-1100
Mailing address
232 IMPERIAL LN, YOGA BY PRESCRIPTION, LAUDERDALE BY THE SEA, FL 33308-5925
(954) 612-1100
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
RYT#171772
FL
2255A2300X
Athletic Trainer
Primary
RYT200
FL
Other
Enumeration date
05/25/2016
Last updated
01/30/2017
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