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Individual

DIEGO FELICIANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
915 54TH ST, OAKLAND, CA 94608-3142
(510) 879-5003
Mailing address
915 54TH ST, OAKLAND, CA 94608-3142
(510) 879-5003

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary

Other

Enumeration date
08/21/2024
Last updated
08/21/2024
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