Individual
VALERIE LISIECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC, LAT
Contact information
Practice address
9446 PHILIPS HWY, STE 3, JACKSONVILLE, FL 32256-1358
(904) 739-4170
Mailing address
536 N BRIDGESTONE AVE, SAINT JOHNS, FL 32259-7972
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL2410
FL
Other
Enumeration date
01/18/2011
Last updated
01/24/2015
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