Individual
MACY KUJAWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
1522 SILVERBROOK AVE, NILES, MI 49120-3811
(269) 362-5400
Mailing address
1522 SILVERBROOK AVE, NILES, MI 49120-3811
(269) 362-5400
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
MI
Other
Enumeration date
03/10/2021
Last updated
03/10/2021
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