Individual
MICHELLE KOWALSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3800 SAINT JOHNS AVE, PALATKA, FL 32177-3902
(386) 325-8305
Mailing address
3800 SAINT JOHNS AVE, PALATKA, FL 32177-3902
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MA41028
FL
Other
Enumeration date
10/25/2013
Last updated
10/25/2013
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