Individual
JULIO JOEL FELICIANO SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
13521 N 127TH DR, EL MIRAGE, AZ 85335-5347
(939) 209-3703
Mailing address
13521 N 127TH DR, EL MIRAGE, AZ 85335-5347
(939) 209-3703
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10154
AZ
Other
Enumeration date
01/31/2024
Last updated
02/20/2024
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