Individual
BETHZAIDA FELICIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 SAN VITAL DR, APT. 104 F-15, KISSIMMEE, FL 34741-1572
(407) 399-4958
Mailing address
2250 SAN VITAL DR, APT. 104 F-15, KISSIMMEE, FL 34741-1572
(407) 399-4958
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/15/2015
Last updated
10/15/2015
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