Individual
JENNESY E FELIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13800 HEACOCK ST STE C220, MORENO VALLEY, CA 92553-3363
(951) 653-1800
Mailing address
13800 HEACOCK ST STE C220, MORENO VALLEY, CA 92553-3363
(951) 653-1800
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
05/16/2025
Last updated
10/06/2025
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