Individual
AMANDA MARIE OZYJOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TATTOO ARTIST
Contact information
Practice address
170 SW PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34984-5041
(772) 240-5585
Mailing address
170 SW PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34984-5041
(772) 240-5585
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
56-44-2219209
FL
246ZA2600X
Medical Art Specialist/Technologist
Primary
56-44-2219209
FL
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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