Individual
KRISTINA MACIJAUSKIENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12401 ORANGE DR, SUITE 219, DAVIE, FL 33330
(954) 862-1707
Mailing address
1133 NE 3RD AVE, BOCA RATON, FL 33432-2804
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003443700
—
FL
Enumeration date
03/27/2012
Last updated
03/27/2012
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