Individual
FELICIA C ELVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1221 MERCANTILE LN, KAISER PERMANENTE LARGO MEDICAL CENTER, LARGO, MD 20774-5374
(301) 618-5500
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE REGIONAL HQ - 4E, PEU, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C02031
MD
363A00000X
Physician Assistant
PA30070
DC
Other
Enumeration date
11/03/2005
Last updated
04/10/2014
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