Individual
KADEAN TISHAUN LAWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
8130 SW 3RD CT, NORTH LAUDERDALE, FL 33068-1025
(954) 687-3264
Mailing address
8130 SW 3RD CT, NORTH LAUDERDALE, FL 33068-1025
(954) 687-3264
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
FL
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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