Individual
FELICIA MA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2344 SIXTH STREET, BERKELEY, CA 94710
(415) 265-1178
Mailing address
PO BOX 11247, BERKELEY, CA 94712-2247
(415) 265-1178
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
51776
CA
Other
Enumeration date
07/28/2014
Last updated
09/02/2016
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