Individual
MARCUS DENNIS FELTON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2929 CALARIVA DR, STOCKTON, CA 95204-1408
(209) 851-1261
Mailing address
2929 CALARIVA DR, STOCKTON, CA 95204-1408
(209) 851-1261
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
CA
Enumeration date
08/03/2022
Last updated
08/03/2022
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