Individual
MRS. KELLY ANN KOCIUBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
403 NW CANTERBURY CT, PORT ST LUCIE, FL 34983-3404
(772) 361-8397
Mailing address
403 NW CANTERBURY CT, PORT ST LUCIE, FL 34983-3404
(772) 361-8397
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
05/30/2021
Last updated
05/30/2021
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