Individual
JELENA LUKITSJOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
821 N 20TH AVE # 5, HOLLYWOOD, FL 33020-3501
(305) 205-2218
Mailing address
821 N 20TH AVE # 5, HOLLYWOOD, FL 33020-3501
(305) 205-2218
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA86032
FL
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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