Individual
ELLAINE LABOY FELICIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5667 S REDWOOD RD, TAYLORSVILLE, UT 84123
(787) 617-2551
Mailing address
5667 S REDWOOD RD, TAYLORSVILLE, UT 84123
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/18/2013
Last updated
10/18/2013
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