Individual
MICHELLE DANIELA FEIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDC
Contact information
Practice address
5201 LEE RD, BUZZARDS BAY, MA 02542-1313
(501) 968-6582
Mailing address
5201 LEE RD, BUZZARDS BAY, MA 02542-1313
(501) 968-6582
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
08/18/2023
Last updated
09/13/2023
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