Individual
MISS DENISE ELAINE WUJCIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
KEAN UNIVERSITY, 1000 MORRIS AVENUE, D103, UNION, NJ 07083
(908) 737-5450
(908) 737-5455
Mailing address
134 E BROAD ST FL 3, WESTFIELD, NJ 07090-2112
(908) 233-2635
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00088300
NJ
Other
Enumeration date
07/20/2007
Last updated
07/20/2007
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